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Aldosterone-Secreting Adrenal Cortical Carcinoma. A Case Report and Review of the Literature

Journal

ENDOCRINE PATHOLOGY
Volume 25, Issue 3, Pages 344-349

Publisher

HUMANA PRESS INC
DOI: 10.1007/s12022-014-9307-x

Keywords

Aldosterone; Hyperaldosteronism; Hypertension; Aldosteronoma; Carcinoma; Adrenocortical carcinoma; Adrenal cortical carcinoma

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Adrenal cortical carcinomas (ACC) are rare, typically aggressive malignant neoplasms with a reported incidence of 1-2 cases per 1 million population and account for 0.05-0.2 % of all malignancies. The majority of these tumors are functional with approximately 60 % of patients experiencing endocrine symptomatology typically characterized by Cushing's syndrome (40 %) or a mixed hormonal picture of Cushing syndrome seen in association with virilization. Rarely, patients present with a pure hormonal syndrome of feminization or hyperaldosteronism, 6 and 2.5 %, respectively. We report a case of a 76-year-old woman presenting with recently diagnosed hypertension secondary to primary hyperaldosteronism. The patient underwent laparoscopic converted to an open adrenalectomy and a diagnosis of adrenocortical carcinoma (aldosteronoma clinical) was rendered. This case and review of the literature highlight that while rare, aldosterone-secreting adrenal cortical carcinomas may occur. In this case report, we discuss the clinical presentation, pathologic findings, and review the literature for adrenal cortical carcinomas and aldosterone-secreting adrenal cortical carcinomas.

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