Servicio de Urología.
Servicio de Patología. Unidad Médica de Alta Especialidad Manuel Ávila Camacho, Instituto Mexicano del Seguro Social, Puebla, Puebla México.
Cir Cir. 2021;89(5):664-668. doi: 10.24875/CIRU.20000693.
The adrenocortical carcinoma is rare and aggressive. It has a bimodal presentation, predominantly female, > 20% of cases will be diagnosed incidentally. 43-year-old male, with colic pain in the left flank, weight loss and intermittent fever. Computed tomography with a tumor on the left adrenal with liver metastases, block resection surgery was performed, pathological report of adrenocortical carcinoma with a 7 points of Weiss score and Ki67 40%. Adrenocortical carcinoma is a rare and aggressive neoplasm; the clinical presentation is variable. Systemic therapy is important even in patients with localized disease and independent of surgical approach.
肾上腺皮质癌罕见且具有侵袭性。它有双峰表现，主要发生于女性，>20%的病例为偶然诊断。患者为 43 岁男性，诉左侧腰痛、体重减轻和间歇性发热。计算机断层扫描显示左侧肾上腺有肿瘤，伴肝脏转移，行肿块切除术，病理报告为肾上腺皮质癌，Weiss 评分为 7 分，Ki67 为 40%。肾上腺皮质癌是一种罕见且具有侵袭性的肿瘤；临床表现多样。即使在局部疾病和独立于手术方法的患者中，全身治疗也很重要。
