title: [Cushing´s syndrome due to a left adrenal cortical carcinoma with metastasis to the liver and a massive vena cava tumor thrombus].
abstract: A 47-year-old woman with a seven-month history of increasing weight, hypertension and recently diagnosed diabetes presented features of hirsutism, frontal baldness, amenorrhea and hypokalemia. These characteristics were considered diagnostic of Cushing´s syndrome, and studies were initialized to identify its etiology. During hospitalization, the patient presented a torpid evolution resulting in death. Clinical autopsy revealed a 400 g carcinoma in the left adrenal gland, liver metastasis and a massive vena cava tumor thrombus which was the final cause of death.
authors.affiliation: Servicio de Medicina Interna, Universidad de La Sabana, Bogotá, D.C, Colombia. m_aleja99@hotmail.com
authors.forename: Martha Alejandra
authors.initials: MA
authors.lastname: Casallas
authors.forename: Carlos Mauricio
authors.initials: CM
authors.lastname: Calderón
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000556:secondary*; D002303:Cardiac Output, Low / Q000209:etiology; D003480:Cushing Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D057210:Delayed Diagnosis; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary*; D008875:Middle Aged; D063189:Symptom Assessment; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000209:etiology*