title: Adrenal incidentalomas in cancer patients are not always "innocent": a case report and review of the literature.
abstract: Herein, we report an unusual case of a 78-year-old woman with synchronous presentation of sigmoid cancer and a nonfunctioning primary adrenal cortex carcinoma, who developed superior vena cava syndrome due to metastatic lymphadenopathy from the latter malignancy. Our case suggests that adrenal incidentalomas during initial staging evaluation after cancer diagnosis are not always "innocent" and should not be "a priori" considered incidental findings attributed to hyperplasia, adenoma or even a non life-threatening metastasis from the primary tumor. It also emphasizes the importance of a continuous assessment of patients with synchronous primary malignancies, in order to timely evaluate changes in clinical or biological behavior and administrate the appropriate treatment.
authors: 251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece.
authors: Panagiota
authors: P
authors: Economopoulou
authors: Giannis
authors: G
authors: Mountzios
authors: Ioannis
authors: I
authors: Kotsantis
authors: Marios
authors: M
authors: Bakogeorgos
authors: Vassilios
authors: V
authors: Ramfidis
authors: Ioannis
authors: I
authors: Kapiris
authors: Efstratios
authors: E
authors: Patsouris
authors: Nikolaos
authors: N
authors: Kentepozidis
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