title: [Giant adrenal carcinoma. Case report].
abstract: BACKGROUND
  To present a case of giant suprarenal carcinoma assisted by the Urology Service of the "Camilo Cienfuegos Gorriarán" General University Hospital of Sancti Spíritus, Cuba.
  
  
  METHODS
  32-year-old male patient who attended the emergency urology consultation, presenting left flank pain and a thirty-pound loss of weight in a three-month period. The radiological studies showed a great tumoral mass with displacement and infiltration of neighbor structures. Pathological study confirmed the diagnosis of suprarenal carcinoma.
  
  
  RESULTS
  The treatment applied was surgical excision surgery via thoracico-abdominal approach. The postoperative evolution was satisfactory. Several parameters of bad prognosis such as weight and elevated size, necrosis, pattern of diffuse growth and capsular invasion were present. Death took place 6 months after intervention due to the progression of the illness.
  
  
  CONCLUSIONS
  The big dimensions of the tumor determined a wide excision surgery which didn't stop the progression of the disease and the death of the patient 6 months after being operated.
authors.affiliation: General Urology Department, Camilo Cienfuegos Gorriaran University Hospital, Sancti Spiritus, Cuba.
authors.forename: Gustavo Emilio
authors.initials: GE
authors.lastname: Muro Toledo
authors.forename: Jorge Luís
authors.initials: JL
authors.lastname: Losada Guerra
authors.forename: Arelys
authors.initials: A
authors.lastname: Martín Pérez
authors.forename: Idel Reimundo
authors.initials: IR
authors.lastname: Pérez Marín
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology* / Q000601:surgery; D000328:Adult; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male