Functional oncocytic adrenocortical carcinoma

被引:20
作者
Ali, Abdullah Essa [1 ]
Raphael, Simon J. [1 ,2 ]
机构
[1] Sunnybrook Hlth Sci Ctr, Dept Pathol, Toronto, ON M4N 3M5, Canada
[2] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
关键词
functional; adrenal; carcinoma; oncocytic; aldosterone;
D O I
10.1007/s12022-007-9000-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of oncocytic adrenocortical carcinoma in a 25-year-old man who presented with persistent hypertension, hypokalemia, and a large right adrenal mass. Clinical workup revealed increased serum aldosterone level, suppressed serum ACTH level and high 24-h urine cortisol. Histologically the tumor showed several features of malignancy and electron microscopy confirmed oncocytic differentiation. This case is reported as the first case of an aldosterone and cortisol-producing malignancy with an oncocytic phenotype.
引用
收藏
页码:187 / 189
页数:3
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