Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/129554
Title: Development of ipsilateral adrenocortical carcinoma sixteen years after resection of an adrenal tumour causing Cushing's syndrome
Authors: Tan, H.S.
Thai, A.C. 
Nga, M.E. 
Mukherjee, J.J.
Keywords: Adrenal cortex neoplasms
Adrenal gland hyperfunction
Neoplasm recurrence
Issue Date: Apr-2005
Citation: Tan, H.S., Thai, A.C., Nga, M.E., Mukherjee, J.J. (2005-04). Development of ipsilateral adrenocortical carcinoma sixteen years after resection of an adrenal tumour causing Cushing's syndrome. Annals of the Academy of Medicine Singapore 34 (3) : 271-274. ScholarBank@NUS Repository.
Abstract: Introduction: At times, it may be difficult to differentiate early stage, low-grade adrenocortical carcinoma from benign adrenal adenoma. Clinical Picture: A 53-year-old lady underwent right adrenalectomy for a 4-cm adrenocortical tumour causing Cushing's syndrome. Histology revealed an adrenocortical adenoma. Sixteen years later, she presented with a 14-cm adrenal tumour, again on the right side. Treatment: She underwent surgical removal of the tumour. Histology confirmed adrenocortical carcinoma. Outcome: She died of metastatic disease 17 months later. Conclusions This case highlights the importance of long-term, systematic follow-up of patients treated for benign adrenal adenomas, especially if the tumour size exceed s 4 cm.
Source Title: Annals of the Academy of Medicine Singapore
URI: http://scholarbank.nus.edu.sg/handle/10635/129554
ISSN: 03044602
Appears in Collections:Staff Publications

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