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|Title:||Development of ipsilateral adrenocortical carcinoma sixteen years after resection of an adrenal tumour causing Cushing's syndrome|
|Keywords:||Adrenal cortex neoplasms|
Adrenal gland hyperfunction
|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|
|Appears in Collections:||Staff Publications|
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