title: A rare case of synchronous adrenocortical carcinoma and renal cell carcinoma.
abstract: We present here a rare case of synchronous adrenocortical carcinoma (ACC) and renal cell carcinoma (RCC). A 27-year-old woman presented with gradual abdominal distension, hematuria, and loss of weight of 3-months duration. She gave a history of treatment for hypertension. The computed axial tomography (CT) scan revealed a large retroperitoneal mass. Her urinary VMA was slightly elevated. Her 24-h urinary metanephrine level was normal. The patient underwent left adrenalectomy, left nephrectomy, spleenectomy, and distal pancreactomy with segmental colonic resection. Postoperative pathology revealed ACC of left suprarenal measuring 22 × 19 × 18 cm(3) and RCC involving the left upper pole of kidney measuring 3 × 2 × 1 cm(3).
authors: Department of Pathology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.
authors: Urmila
authors: U
authors: Majhi
authors: Kanchan M
authors: KM
authors: Murhekar
authors: Mahendranath P
authors: MP
authors: Reddy
authors: Kathiresan
authors: K
authors: Narayanaswamy