Adkins Katelyn M, Lee James T, Bress Aaron L, Spires Susan E, Lee Cortney Y, Ayoob Andres R
Radiol Case Rep. 2015 Nov 6;8(3):826. doi: 10.2484/rcr.v8i3.826. eCollection 2013.
Adrenocortical carcinoma is an aggressive but rare neoplasm of the adrenal cortex, with an estimated incidence of approximately 2.5 per one million patients. The prognosis for patients with adrenocortical carcinoma is often very poor. Patients often present with symptoms of hormone hypersecretion but may also present with pain or a palpable mass. Imaging plays an important role in preoperative planning when clinical and biochemical findings are compatible with adrenal cortical carcinoma. We report a case of adrenocortical carcinoma in a young woman who presented with classical Cushing syndrome, but who had an atypical hormonal profile.
肾上腺皮质癌是一种侵袭性但罕见的肾上腺皮质肿瘤,估计发病率约为每百万患者2.5例。肾上腺皮质癌患者的预后通常很差。患者常表现为激素分泌过多的症状,但也可能表现为疼痛或可触及的肿块。当临床和生化检查结果与肾上腺皮质癌相符时,影像学检查在术前规划中起着重要作用。我们报告一例年轻女性肾上腺皮质癌病例,该患者表现为典型的库欣综合征,但激素谱不典型。