A case of non-functioning huge adrenocortical carcinoma extending into inferior vena cava and right atrium

Hun Kim Kye; Chun Park Jong; Yup Lim Sang; Suk Sohn Il; Ho Yun Kyung; Hee Cho Sang; Joon Hong Young; Wook Park Hyung; Han Kim Ju; Weon Kim; Keun Ahn Young; Joo Chung Ik; Ho Jeong Myung; Gwan Cho Jeong; Chaee Kang Jung

doi:10.3346/jkms.2006.21.3.572

A case of non-functioning huge adrenocortical carcinoma extending into inferior vena cava and right atrium

Hun Kim Kye, Chun Park Jong, Yup Lim Sang, Suk Sohn Il, Ho Yun Kyung, Hee Cho Sang, Joon Hong Young, Wook Park Hyung, Han Kim Ju, Weon Kim, Keun Ahn Young, Joo Chung Ik, Ho Jeong Myung, Gwan Cho Jeong, Chaee Kang Jung

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

Primary adrenocortical carcinoma (ACC) is a rare tumor and its usual sites of metastasis are the lung (71%), lymph node (68%), liver (42%), and bone (26%). However, intracaval invasion extending into the right atrium is very rare and spontaneous regression of tumor burden in adrenal carcinoma is also rare. We report a case of ACC with direct invasion of the inferior vena cava and right atrium. A 34-yr-old male patient presented with progressive dyspnea, weight loss, and poor oral intake over 3 months. Non-functioning ACC with direct invasion of the inferior vena cava and right atrium was confirmed by imaging, pathologic, and hormonal study. Chemo-radiotherapy was attempted. However, tumor burden was not changed, but rather toxic hepatitis and thrombocytopenia were developed. His subjective symptoms and general conditions were improved after 1 month of conservative management and the patient was discharged. During clinical follow-up, this tumor showed spontaneous regression.

Original language	English
Pages (from-to)	572-576
Number of pages	5
Journal	Journal of Korean medical science
Volume	21
Issue number	3
DOIs	https://doi.org/10.3346/jkms.2006.21.3.572
Publication status	Published - 2006 Jun
Externally published	Yes

Keywords

Adrenocortical Carcinoma
Neoplasm Metastasis
Vena Cava, Inferior

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3346/jkms.2006.21.3.572

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Kye, H. K., Jong, C. P., Sang, Y. L., Il, S. S., Kyung, H. Y., Sang, H. C., Young, J. H., Hyung, W. P., Ju, H. K., Kim, W., Young, K. A., Ik, J. C., Myung, H. J., Jeong, G. C., & Jung, C. K. (2006). A case of non-functioning huge adrenocortical carcinoma extending into inferior vena cava and right atrium. Journal of Korean medical science, 21(3), 572-576. https://doi.org/10.3346/jkms.2006.21.3.572

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abstract = "Primary adrenocortical carcinoma (ACC) is a rare tumor and its usual sites of metastasis are the lung (71%), lymph node (68%), liver (42%), and bone (26%). However, intracaval invasion extending into the right atrium is very rare and spontaneous regression of tumor burden in adrenal carcinoma is also rare. We report a case of ACC with direct invasion of the inferior vena cava and right atrium. A 34-yr-old male patient presented with progressive dyspnea, weight loss, and poor oral intake over 3 months. Non-functioning ACC with direct invasion of the inferior vena cava and right atrium was confirmed by imaging, pathologic, and hormonal study. Chemo-radiotherapy was attempted. However, tumor burden was not changed, but rather toxic hepatitis and thrombocytopenia were developed. His subjective symptoms and general conditions were improved after 1 month of conservative management and the patient was discharged. During clinical follow-up, this tumor showed spontaneous regression.",

keywords = "Adrenocortical Carcinoma, Neoplasm Metastasis, Vena Cava, Inferior",

author = "Kye, {Hun Kim} and Jong, {Chun Park} and Sang, {Yup Lim} and Il, {Suk Sohn} and Kyung, {Ho Yun} and Sang, {Hee Cho} and Young, {Joon Hong} and Hyung, {Wook Park} and Ju, {Han Kim} and Weon Kim and Young, {Keun Ahn} and Ik, {Joo Chung} and Myung, {Ho Jeong} and Jeong, {Gwan Cho} and Jung, {Chaee Kang}",

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doi = "10.3346/jkms.2006.21.3.572",

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AU - Kye, Hun Kim

AU - Jong, Chun Park

AU - Sang, Yup Lim

AU - Il, Suk Sohn

AU - Kyung, Ho Yun

AU - Sang, Hee Cho

AU - Young, Joon Hong

AU - Hyung, Wook Park

AU - Ju, Han Kim

AU - Kim, Weon

AU - Young, Keun Ahn

AU - Ik, Joo Chung

AU - Myung, Ho Jeong

AU - Jeong, Gwan Cho

AU - Jung, Chaee Kang

PY - 2006/6

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N2 - Primary adrenocortical carcinoma (ACC) is a rare tumor and its usual sites of metastasis are the lung (71%), lymph node (68%), liver (42%), and bone (26%). However, intracaval invasion extending into the right atrium is very rare and spontaneous regression of tumor burden in adrenal carcinoma is also rare. We report a case of ACC with direct invasion of the inferior vena cava and right atrium. A 34-yr-old male patient presented with progressive dyspnea, weight loss, and poor oral intake over 3 months. Non-functioning ACC with direct invasion of the inferior vena cava and right atrium was confirmed by imaging, pathologic, and hormonal study. Chemo-radiotherapy was attempted. However, tumor burden was not changed, but rather toxic hepatitis and thrombocytopenia were developed. His subjective symptoms and general conditions were improved after 1 month of conservative management and the patient was discharged. During clinical follow-up, this tumor showed spontaneous regression.

AB - Primary adrenocortical carcinoma (ACC) is a rare tumor and its usual sites of metastasis are the lung (71%), lymph node (68%), liver (42%), and bone (26%). However, intracaval invasion extending into the right atrium is very rare and spontaneous regression of tumor burden in adrenal carcinoma is also rare. We report a case of ACC with direct invasion of the inferior vena cava and right atrium. A 34-yr-old male patient presented with progressive dyspnea, weight loss, and poor oral intake over 3 months. Non-functioning ACC with direct invasion of the inferior vena cava and right atrium was confirmed by imaging, pathologic, and hormonal study. Chemo-radiotherapy was attempted. However, tumor burden was not changed, but rather toxic hepatitis and thrombocytopenia were developed. His subjective symptoms and general conditions were improved after 1 month of conservative management and the patient was discharged. During clinical follow-up, this tumor showed spontaneous regression.

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A case of non-functioning huge adrenocortical carcinoma extending into inferior vena cava and right atrium

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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