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1998•Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)Open access

A CASE OF ADULT VILIRIZING ADRENOCORTICAL CARCINOMA

Toshihiko Kohashi, Seiji Marubayashi, Tsuyoshi Kataoka, Keizo Sugino, Hiroshi Yahata, Toshimasa Asahara, Kiyohiko Dohi

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Abstract

A rare case of adrenocortical carcinoma in an adult with vilirism is reported. A 25-year-old woman, with hirsutism, acne, and amenorrhea was diagnosed as having an androgen producing tumor of the right adrenal gland by abdominal computed tomography, ultrasonography and endocrinal examinations. We resected the tumor and performed lymph node dissection. The tumor had a smooth surface and a cystic region, but was not invasive. Histopathological study revealed adrenocortical carcinoma. Adrenocortical carcinoma with vilirism in adults is very rare, and have been only 14 cases reported in Japan previously. The prognosis of adrenocortical carcinoma is very poor, and additional follow up should be performed.

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What this paper is about

A rare case of adrenocortical carcinoma in an adult with vilirism is reported. A 25-year-old woman, with hirsutism, acne, and amenorrhea was diagnosed as having an androgen producing tumor of the right adrenal gland by abdominal computed tomography, ultrasonography and endocrinal examinations. We resected the tumor and performed lymph node dissection. The tumor had a smooth surface and a cystic region, but was not invasive. Histopathological study revealed adrenocortical carcinoma. Adrenocortical carcinoma with vilirism in adults is very rare, and have been only 14 cases reported in Japan previously. The prognosis of adrenocortical carcinoma is very poor, and additional follow up should be performed.

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Available abstract

A rare case of adrenocortical carcinoma in an adult with vilirism is reported. A 25-year-old woman, with hirsutism, acne, and amenorrhea was diagnosed as having an androgen producing tumor of the right adrenal gland by abdominal computed tomography, ultrasonography and endocrinal examinations. We resected the tumor and performed lymph node dissection. The tumor had a smooth surface and a cystic region, but was not invasive. Histopathological study revealed adrenocortical carcinoma. Adrenocortical carcinoma with vilirism in adults is very rare, and have been only 14 cases reported in Japan previously. The prognosis of adrenocortical carcinoma is very poor, and additional follow up should be performed.

Key concepts: Adrenocortical carcinoma, Medicine, hirsutism, Lymph node, Carcinoma, Histopathological examination, Abdominal ultrasonography, Dissection (medical)

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