The first local case of a 37 year old Gravida 5 Para 3 (2-1-2-3) with adrenocortical carcinoma who developed metastases during pregnancy is reported. Patient initially presented with signs and symptoms of Cushings and virilization. Ultrasound revealed a solid suprarenal mass. Biochemical evaluation showed increased levels of urinary cortisol, 17-ketosteroids, serum testosterone and serum DHEA-S. Adrenalectomy revealed adrenocortical carcinoma. Complications developed at 31 weeks AOG necessitating early termination of pregnancy. In the absence of a more effective treatment modality, chemotherapy was started obtaining optimum outcome for both the mother and the fetus.
Human ; Female ; Adult ; ADRENAL GLAND NEOPLASMS ; PREGNANCY

Aldosterone-producing adrenocortical carcinoma comprises less than 7% of all functioning adrenocortical carcinomas. We report a rare case of adrenocortical carcinoma with a clinical picture of primary aldosteronism and subclinical Cushing’s syndrome and feminization. Complete surgical resection normalized blood pressures and aldosterone, cortisol and estradiol levels. Long-term monitoring is recommended with imaging and hormonal evaluation used as tumor markers for recurrence.
Adrenal Gland Neoplasms ; Adrenocortical Carcinoma ; Hyperaldosteronism ; Hypertension

Adrenal Gland Neoplasms ; Heart Failure ; Humans ; Pheochromocytoma

Adrenal cysts are an uncommon disorder, but are most commonly discovered at autopsies. According to overseas cases, a 0.073% incidence of adrenal cyst in 19,096 autopsies was noted, with approximately 600 cases having been reported. However, only two domestic cases have been reported. An acute hemorrhagic adrenal cyst has never been reported in Korea. Here, the case of an acute hemorrhagic adrenal cyst, without evidence of injury, in a healthy women, is reported.
Adrenal Gland Neoplasms ; Autopsy ; Female ; Hemorrhage ; Humans ; Incidence ; Korea

Periadrenal retroperitoneal tumors are frequently misdiagnosed as adrenal tumors because of its rarity and anatomical vicinity. Thus, there are only very few cases reported and little information available in the literature. Preoperative diagnoses of theses tumors are challenging. The definitive diagnosis is based on postoperative pathological findings. We report two cases of periadrenal retroperitoneal tumors that mimicked adrenal neoplasms. Final diagnoses were mature cystic teratoma and papillary renal carcinoma, respectively. Although periadrenal retroperitoneal tumors are rare, it should be considered in the differential diagnosis of adrenal incidentalomas.
Adrenal Gland Neoplasms ; Carcinoma, Renal Cell ; Diagnosis ; Diagnosis, Differential ; Teratoma

No abstract available.
*Adrenal Gland Neoplasms ; *Cushing Syndrome ; Female ; Humans ; *Hyperaldosteronism ; Male ; *Pheochromocytoma

Adrenal teratoma is a rare germline tumor with a malignant potential. We present a case of left adrenal teratoma complicated by diabetes. The 64-year-old female patient showed multiple cystic space-occupying masses in the left kidney in B-mode ultrasound examination, and plain and enhanced CT reported a 9.0 cm heterogeneous mass in the left adrenal gland. After effective control of blood glucose, the mass was surgically removed and sent for pathological examination. The mass consisted of multiple cysts containing lipid-like substance with a cyst wall thickness of 0.2-0.4 cm; bony structures were found on the sections of the mass with fat tissues on the mass surface. A final diagnosis of left cystic mature adrenal teratoma was made based on the clinical and pathological findings and literature review. The patient was followed up for 6 months and no local recurrence or metastasis was found. Mature adrenal teratoma can be easily diagnosed by ultrasound and CT examinations and should be distinguished from other tumors of an adrenal source. Early diagnosis and early surgical resection is key to the treatment, and a definite diagnosis can be made pathologically. Chemotherapy is necessary in inoperable cases or for such tumors with a malignant potential. The patients should be followed up for life time after the treatment.
Adrenal Gland Neoplasms ; Female ; Humans ; Middle Aged ; Teratoma

Adrenal Gland Neoplasms ; Adult ; Humans ; Male ; Pheochromocytoma ; Rupture, Spontaneous

Humans ; Aldosterone ; Hyperaldosteronism/diagnosis* ; Adrenal Gland Neoplasms/complications* ; Adenoma/diagnosis*

Adrenal Cortex Neoplasms ; complications ; Adrenal Gland Neoplasms ; complications ; Adrenal Glands ; pathology ; Adrenocortical Adenoma ; complications ; Humans ; Pheochromocytoma ; complications