title: [Left adrenal carcinoma with caval thrombosis].
abstract: OBJECTIVE
  To review the epidemiology, classification, prognosis, and therapeutic options of adrenal cortical carcinoma, mainly those of functional tumors.
  
  
  RESULTS
  52-year-old male presenting with wasting syndrome and a big left adrenal tumor, as well as a possible inferior vena cava thrombus. The tumor was catalogued as non functional after functional studies. Surgical intervention was carried out including adrenal tumor excision, splenectomy, and cavotomy with thrombectomy of a tumoral thrombus coming from the left adrenal and renal veins. Infrarenal iliocaval thrombosis appeared during the postoperative period, requiring intensive anticoagulant therapy and ICU admission for control. Pathological diagnosis confirmed the existence of a high grade malignant adrenal cortical carcinoma. Patient died two months after surgery due to disease progression.
  
  
  CONCLUSIONS
  Radiological tests are fundamental in the diagnosis of adrenal masses. In the case of big tumoral masses, it is important to rule out the existence of possible tumor thrombi in the adrenal vein territory, including the inferior vena cava.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. mortig@fundacionhvn.org
authors.forename: Manuel
authors.initials: M
authors.lastname: Ortiz Gorraiz
authors.forename: Miguel
authors.initials: M
authors.lastname: Tallada Buñuel
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Vicente Prados
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez Herrera
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rosales Leal
authors.forename: Beatriz
authors.initials: B
authors.lastname: Honrubia Vílchez
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Morcillo
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espejo Maldonado
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D002277:Carcinoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D011183:Postoperative Complications / Q000209:etiology; D013154:Spleen / Q000473:pathology; D013156:Splenectomy; D013927:Thrombosis / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000473:pathology*; D020246:Venous Thrombosis / Q000209:etiology