Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer.
Adrenocortical carcinoma (ACC) is a rare malignancy that is generally associated with a poor prognosis whose existence dictates the management of incidental renal masses. We report a case of ACC diagnosed and treated at its apparent inception in a patient undergoing close surveillance imaging of a prior malignancy. Despite timely detection and resection of a localized ACC this patient rapidly progressed to systemic disease. This case highlights the rapid growth kinetics of ACC and puts into perspective the challenges associated with the established treatment paradigm for patients diagnosed with an adrenal mass.
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Benjamin
B
Miron
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Benjamin T
BT
Ristau
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Jeffrey J
JJ
Tomaszewski
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Josh
J
Jones
Department of Radiology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Bart
B
Milestone
Department of Medical Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Yu-Ning
YN
Wong
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Robert G
RG
Uzzo
Division of Thoracic Surgery, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Donna
D
Edmondson
Division of Thoracic Surgery, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Walter
W
Scott
Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
Alexander
A
Kutikov
Adrenal cancer; Adrenocortical carcinoma; Incidental adrenal mass; Incidentaloma