Narra Ramakrishna, Syed Shaheen, Sowjanya Nethula, Veeragandham Satyanarayana
Depatment of Radiodiagnosis, Katuri Medical College, Guntur, Andhra Pradesh, India, 522017.
Katuri Medical College, Guntur, Andhra Pradesh, India, 522017.
Radiol Case Rep. 2022 Mar 3;17(5):1506-1511. doi: 10.1016/j.radcr.2022.02.002. eCollection 2022 May.
Adrenal cortical carcinoma (ACC) is a rare, aggressive endocrine malignancy with a reported incidence of 1.0-2.0 cases per million population and a poor prognosis due to metastatic spread. About 25% of cases of ACC present with metastases at the time of diagnosis. Metastatic spread of ACC commonly involves lungs, liver, kidney, peritoneum, lymph nodes, venous extension to the renal vein or inferior vena cava and bone. We report a case of a 47-year-old male with a nonfunctioning ACC with metastases to skeletal muscle (subscapularis, paraspinal, iliacus and gluteus maximus muscle) in addition to metastasis to the lung, which was not reported in the literature. Unfortunately, the patient expired prior to the surgery due to respiratory distress.
肾上腺皮质癌（ACC）是一种罕见的侵袭性内分泌恶性肿瘤，据报道发病率为每百万人口1.0 - 2.0例，由于转移扩散，预后较差。约25%的ACC病例在诊断时即出现转移。ACC的转移扩散通常累及肺、肝、肾、腹膜、淋巴结、静脉延伸至肾静脉或下腔静脉以及骨骼。我们报告一例47岁男性，患有无功能ACC，除了肺转移外，还转移至骨骼肌（肩胛下肌、椎旁肌、髂肌和臀大肌），这在文献中未见报道。不幸的是，患者因呼吸窘迫在手术前死亡。
