Giant adrenal carcinoma associated with renal vein and inferior vena cava thrombus. Case report and literature review.
OBJECTIVE
To present a case of giant adrenal carcinoma associated with renal vein and inferior vena cava (IVC) thrombus. Up to now, there is no similar case reported in the national literature.


METHODS
75 year old woman with signs of virilization. CT-scan showed an 18 cm adrenal mass with venous thrombus and possible pulmonary metastases. The working diagnosis was primary suprarenal carcinoma.


RESULTS
Due to elderly age and advanced stage, including metastasis, we decided to not perform surgery, and initiate chemotherapy.


CONCLUSIONS
Adrenal Cancer is an infrequent and very aggressive tumor. Surgery is the only curative treatment. In advanced stages chemotherapy is recommended, but with poor results.
Urology Department, Henares Hospital, Coslada, Spain. pgabad@hotmail.com
P
P
Garrido Abad
J M
JM
Gómez de Vicente
L M
LM
Herranz Fernández
M
M
Jiménez Gálvez
D
D
Santos Arrontes
C
C
Suárez Fonseca
M
M
Fernández Arjona
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000315:Adrenalectomy; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002277:Carcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary; D000075202:Contraindications; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary; D008545:Melanoma / Q000601:surgery; D008939:Mitotane / Q000627:therapeutic use; D016609:Neoplasms, Second Primary / Q000000981:diagnostic imaging / Q000188:drug therapy; D011379:Prognosis; D011859:Radiography; D012082:Renal Veins; D013927:Thrombosis / Q000209:etiology*; D016606:Thyroid Nodule / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014682:Vena Cava, Inferior; D014770:Virilism / Q000209:etiology
D000970:Antineoplastic Agents; D008939:Mitotane