c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Adrenocortical Carcinoma: 1

A D V E R T I S E M E N T

   
 

A 37-year-old man complained of persistent right back and flank pain after a fall from a ladder. CT scan showed a 10 cm spherical mass between right kidney and liver. The patient was not hypertensive. Urinary metanephrines, catecholamines and VMA were negative. Serum aldosterone and K were normal as were corticosteroids.      

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Adrenocortical Carcinoma: 2

A D V E R T I S E M E N T

   
 

Reformatted CT images showed the lesion displacing the right kidney caudally (see normal adrenal position in open adrenalectomy for aldosteronoma.)       

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Adrenocortical Carcinoma: 3

A D V E R T I S E M E N T

   
 

The patient was taken to the operating room with a diagnosis of a non-functional right adrenal tumor. He was positioned with his right chest and flank elevated on a beanbag.       

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This page was last modified on 2/24/2006.