DIAGNOSTIC AND MANAGEMENT OF PATIENT WITH ADRENOCORTICAL CARCINOMA

Adrenal carcinoma Cushing's Syndrome adrenal mass

Authors

  • Mamluatul Karimah
    mamluatulkarimahh@gmail.com
    Universitas Airlangga - Dr. Soetomo General Hospital
January 29, 2021

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Endogenous Cushing's syndrome is a rare case, and about 8% is due to adrenocortical carcinoma. We report a case of a 31-year-old woman
with complaints of weight gain, round face, brown lines, menstrual disorders, and limb weakness. On physical examination, there were
hypertension, moon face, central obesity, and stroke. On laboratory examination, there were morning serum cortisol levels were 46.87 and
ACTH levels 5. On CT scan. It was found that the right adrenal gland solid mass enhancement was +/- 6.6x4.9x7.3 cm, with suspicion of
adrenal carcinoma. On histopathological examination, adrenocortical carcinoma was obtained, and capsule invasion was obtained. Patients underwent surgery to remove the tumor, radiotherapy and chemotherapy. The patient was alive and had no residual mass at the surgical bed.