Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer

Adrenocortical carcinoma (ACC) is a rare malignancy that is generally associated with a poor prognosis whose existence dictates the management of incidental renal masses. We report a case of ACC diagnosed and treated at its apparent inception in a patient undergoing close surveillance imaging of a p...

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Main Authors: Benjamin Miron, Benjamin T. Ristau, Jeffrey J. Tomaszewski, Josh Jones, Bart Milestone, Yu-Ning Wong, Robert G. Uzzo, Donna Edmondson, Walter Scott, Alexander Kutikov
Format: Article
Language:English
Published: Elsevier 2016-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442016300845
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author Benjamin Miron
Benjamin T. Ristau
Jeffrey J. Tomaszewski
Josh Jones
Bart Milestone
Yu-Ning Wong
Robert G. Uzzo
Donna Edmondson
Walter Scott
Alexander Kutikov
author_facet Benjamin Miron
Benjamin T. Ristau
Jeffrey J. Tomaszewski
Josh Jones
Bart Milestone
Yu-Ning Wong
Robert G. Uzzo
Donna Edmondson
Walter Scott
Alexander Kutikov
author_sort Benjamin Miron
collection DOAJ
description Adrenocortical carcinoma (ACC) is a rare malignancy that is generally associated with a poor prognosis whose existence dictates the management of incidental renal masses. We report a case of ACC diagnosed and treated at its apparent inception in a patient undergoing close surveillance imaging of a prior malignancy. Despite timely detection and resection of a localized ACC this patient rapidly progressed to systemic disease. This case highlights the rapid growth kinetics of ACC and puts into perspective the challenges associated with the established treatment paradigm for patients diagnosed with an adrenal mass.
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spelling doaj.art-70d7b27db4b4432b853ead775823b5772022-12-22T02:55:36ZengElsevierUrology Case Reports2214-44202016-11-019C91110.1016/j.eucr.2016.07.009Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung CancerBenjamin Miron0Benjamin T. Ristau1Jeffrey J. Tomaszewski2Josh Jones3Bart Milestone4Yu-Ning Wong5Robert G. Uzzo6Donna Edmondson7Walter Scott8Alexander Kutikov9Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADepartment of Radiology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADepartment of Medical Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Thoracic Surgery, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Thoracic Surgery, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USADivision of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USAAdrenocortical carcinoma (ACC) is a rare malignancy that is generally associated with a poor prognosis whose existence dictates the management of incidental renal masses. We report a case of ACC diagnosed and treated at its apparent inception in a patient undergoing close surveillance imaging of a prior malignancy. Despite timely detection and resection of a localized ACC this patient rapidly progressed to systemic disease. This case highlights the rapid growth kinetics of ACC and puts into perspective the challenges associated with the established treatment paradigm for patients diagnosed with an adrenal mass.http://www.sciencedirect.com/science/article/pii/S2214442016300845Adrenocortical carcinomaAdrenal cancerIncidental adrenal massIncidentaloma
spellingShingle Benjamin Miron
Benjamin T. Ristau
Jeffrey J. Tomaszewski
Josh Jones
Bart Milestone
Yu-Ning Wong
Robert G. Uzzo
Donna Edmondson
Walter Scott
Alexander Kutikov
Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
Urology Case Reports
Adrenocortical carcinoma
Adrenal cancer
Incidental adrenal mass
Incidentaloma
title Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
title_full Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
title_fullStr Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
title_full_unstemmed Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
title_short Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer
title_sort biology is destiny a case of adrenocortical carcinoma diagnosed and resected at inception in a patient under close surveillance for lung cancer
topic Adrenocortical carcinoma
Adrenal cancer
Incidental adrenal mass
Incidentaloma
url http://www.sciencedirect.com/science/article/pii/S2214442016300845
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