Adrenocortical carcinoma with skeletal metastases in a postmenopausal woman.
Adrenocortical cancer is a very rare tumor with a poor prognosis. About half of them are hormone-secreting tumors. In most cases, hormonal investigations reveal an excess secretion of steroids, mostly cortisol and androgens. A 54-year-old lady presented with history of pain in left shoulder and leg for 6 months and features of virilization. CT-guided fine-needle aspiration cytology of an abdominal mass revealed the presence of a carcinoma of the left adrenal cortex. A whole-body radionuclide bone scan revealed increased uptake in the left clavicle and left femur. The patient has received palliative radiotherapy for the skeletal lesions and 3 cycles of palliative chemotherapy at present.
Mitra
Shila
S
Department of Radiotherapy, Medical College Hospital, 88, College Street, Kolkata - 700 073, India.
Roy
Suparna Ghosh
SG
Sur
Prabir Kumar
PK