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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Format: | Article |
Language: | English |
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Elsevier
2016-11-01
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Series: | Urology Case Reports |
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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. |
first_indexed | 2024-04-13T07:49:05Z |
format | Article |
id | doaj.art-70d7b27db4b4432b853ead775823b577 |
institution | Directory Open Access Journal |
issn | 2214-4420 |
language | English |
last_indexed | 2024-04-13T07:49:05Z |
publishDate | 2016-11-01 |
publisher | Elsevier |
record_format | Article |
series | Urology Case Reports |
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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