title: [Adrenocortical carcinoma with intratumoral hemorrhage detected from chest and back pain: a case report].
abstract: A 55-year-old man visited our hospital with left chest and back pain. Computed tomography (CT) showed left retroperitoneal tumor, which was 6 cm in diameter with intratumoral hemorrhage. Based on abdominal CT, magnetic resonance imaging and blood tests, preoperative diagnosis was adrenocortical carcinoma. En bloc resection of the tumor and the left kidney was performed. The histological diagnosis was adrenocortical carcinoma. He rejected adjuvant therapy with mitotane. Bone and liver metastases were recognized 2 months after operation. The patient died three months after operation because of disease progression.
authors.affiliation: The Department of Urology, Tane General Hospital.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Kuwada
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Hosokawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takada
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumamoto
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Kiyohide
authors.initials: K
authors.lastname: Fujimoto
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Hirao
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis*; D001416:Back Pain / Q000209:etiology*; D002277:Carcinoma / Q000175:diagnosis*; D002637:Chest Pain / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed