Not functioning adrenocortical carcinoma from diagnosis to management: A case report

authors:

avatar Behnaz Bazrafshan 1 , avatar Payam Sarmadi 2 , avatar Mohammadreza Hashempour 3 , * , avatar Masoumeh Rostami ORCID 4 , avatar Abdolreza Fazel 5 , avatar Akram Sanagoo 6 , avatar Leila Mahasti Jouybari ORCID 6 , avatar Seyed Payam Shirangi 1

Medical Cellular and Molecular Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Family Medicine Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Resident of Surgery, Students Research Committee, Department of Surgery, 5-Azar Teaching Hospital, Golestan University of Medical Sciences, Gorgan, Iran
Department of Parasitology and Mycology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
Surgeon, Department of Surgery, 5-Azar Teaching Hospital, Golestan University of Medical Sciences, Gorgan, Iran
Nursing Research Center, Department of Nursing, Golestan University of Medical Sciences, Gorgan, Iran

how to cite: Bazrafshan B, Sarmadi P, Hashempour M, Rostami M, Fazel A, et al. Not functioning adrenocortical carcinoma from diagnosis to management: A case report. J Nurs Midwifery Sci. 2016;3(4):e141219. https://doi.org/10.18869/acadpub.jnms.3.4.56.

Abstract

Adrenal gland cysts are rare indications of adrenal diseases, which are commonly asymptomatic. In radiological studies, these
cysts, known as incidentalomas, are often detected by coincidence accounting for 6% of the population. Adrenal incidentalomas are
commonly detected, and autonomous cortisol hypersecretion is the most prevalent abnormality associated with these masses. Since
this complication is recurrent, it requires intermittent morphological and hormonal evaluation for several years. In this paper, we aimed
to present the case of a 52-year-old woman with complaints of vague abdominal pain. After laparotomy, the tumor was removed, and
umbilical herniorrhaphy was performed on the patient. Laparoscopic adrenalectomy is the first-line surgical treatment for this type of
incidentaloma. Ultrasonography revealed an echogenic mass (diameter: 4 cm) in the left adrenal gland of the patient, which was not
associated with hernia. In addition, CT-scan showed that the adrenal lesion was hypodense and heterogeneous (diameters: 81*53 mm)
with sharp, irregular borders.

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