title: Adrenocortical carcinoma producing 11-deoxycorticosterone: a rare cause of mineralocorticoid hypertension.
abstract: A 37-yr-old man presented with the classic signs of mineralocorticoid excess hypertension and hypokalemia. The cause was not aldosterone excess, but elevation of plasma 11-deoxycorticosterone (DOC). Computed tomography (CT) scans showed a large right adrenal mass without signs of metastatic disease. The tumor was removed by open laparotomy, and histology revealed an adrenocortical carcinoma. Two yr after diagnosis, the patient is in good general condition and there is no sign of recurrence or metastatic disease, despite the large tumor size. DOC producing adrenocortical carcinomas causing mineralocorticoid hypertension are very rare, so far only 10 cases have been described in the literature.
authors.affiliation: Department of Internal Medicine, University of Tübingen, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Müssig
authors.forename: M
authors.initials: M
authors.lastname: Wehrmann
authors.forename: M
authors.initials: M
authors.lastname: Horger
authors.forename: C
authors.initials: C
authors.lastname: Maser-Gluth
authors.forename: H U
authors.initials: HU
authors.lastname: Häring
authors.forename: D
authors.initials: D
authors.lastname: Overkamp
mesh_terms: D000305:Adrenal Cortex Hormones / Q000097:blood / Q000652:urine; D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D000450:Aldosterone / Q000097:blood / Q000652:urine; D002395:Catecholamines / Q000652:urine; D003900:Desoxycorticosterone / Q000096:biosynthesis*; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000503:physiopathology*; D007008:Hypokalemia / Q000209:etiology / Q000503:physiopathology; D008297:Male; D008901:Mineralocorticoids / Q000502:physiology*; D010673:Pheochromocytoma / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000601:surgery; D012083:Renin / Q000097:blood; D014057:Tomography, X-Ray Computed
chemical_list: D000305:Adrenal Cortex Hormones; D002395:Catecholamines; D008901:Mineralocorticoids; D003900:Desoxycorticosterone; D000450:Aldosterone; D012083:Renin