Soonchunhyang Med Sci.  2015 Dec;21(2):216-220. 10.0000/sms.2015.21.2.216.

A Case of Recurrent Adrenocortical Carcinoma with Stomach Metastasis

Affiliations
  • 1Division of Hematology-Oncology, Department of Internal Medicine, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea. maruhiran@hanmail.net
  • 2Department of Pathology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.

Abstract

Adrenocortical carcinoma (ACC) is a rare disease with poor prognosis. We experienced a case of recurrent ACC with stomach metastasis which had been completely cured a long while ago. A 52-year-old man who presented with right thigh pain was hospitalized. We found a lumbar spine mass on magnetic resonance imaging scan. And this lesion was identified as metastatic adrenocortical carcinoma. The patient had been treated as stage II non-functioning ACC 19 years ago. At that time radical resection and adjuvant chemotherapy were successfully done. And the follow-up evaluation was discontinued, since it had been checked as no evidence of disease (NED) state for 5 years. But this time, there were multiple metastatic sites revealed in positron emission tomography-computed tomography scan including stomach. Therefore, we report a case of ACC herewith that it could be recurred even though long-term NED state was passed after treatment and stomach could be a metastatic site of ACC.

Keyword

Adrenocortical carcinoma; Recurrence; Neoplasm metastasis; Stomach

MeSH Terms

Adrenocortical Carcinoma*
Chemotherapy, Adjuvant
Electrons
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Middle Aged
Neoplasm Metastasis*
Prognosis
Rare Diseases
Recurrence
Spine
Stomach*
Thigh
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