Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico

We report a previously healthy 34-year-old woman, presenting with a seven-month history of arterial hypertension, amenorrhea, weight gain, facial edema, acne, hirsutism and low back pain. A CT scan showed a right adrenal mass of 18 × 13 × 12.5 cm, and multiple vertebral and rib fractures. The hormon...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Zapata Pizarro,Antonio, Galleguillos Valdivia,Michel, García Jara,Víctor, Espinoza Cohen,Baldo, Ablan Candia,Franklin, Güenchor García,David, Valenzuela Cruz,José
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Abdominal Neoplasms Adrenal Gland Neoplasms Adrenocortical Hyperfunction Cushing Syndrome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001101679
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872020001101679
record_format	dspace
spelling	oai:scielo:S0034-988720200011016792021-04-04Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínicoZapata Pizarro,AntonioGalleguillos Valdivia,MichelGarcía Jara,VíctorEspinoza Cohen,BaldoAblan Candia,FranklinGüenchor García,DavidValenzuela Cruz,José Abdominal Neoplasms Adrenal Gland Neoplasms Adrenocortical Hyperfunction Cushing Syndrome We report a previously healthy 34-year-old woman, presenting with a seven-month history of arterial hypertension, amenorrhea, weight gain, facial edema, acne, hirsutism and low back pain. A CT scan showed a right adrenal mass of 18 × 13 × 12.5 cm, and multiple vertebral and rib fractures. The hormonal study confirmed Cushing's Syndrome. Ketoconazole, spironolactone, cotrimoxazole, calcium / vitamin D were started. An adrenalectomy with a right nephrectomy were performed. The excised tumor measured 16 cm and weighed 1.55 kg. There was tumor embolism and a 4 mm soft tissue involvement (pT3NxMx). The right kidney was free of tumor. The patient was treated with chemotherapy (etoposide plus cisplatin). Study of vertebral fractures with magnetic resonance (MRI) showed crush fractures, without images of metastatic bone lesions. One year after surgery, a CT scan showed no signs of tumor recurrence. The patient was lost from follow-up thereafter.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.11 20202020-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001101679es10.4067/S0034-98872020001101679
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Abdominal Neoplasms Adrenal Gland Neoplasms Adrenocortical Hyperfunction Cushing Syndrome
spellingShingle	Abdominal Neoplasms Adrenal Gland Neoplasms Adrenocortical Hyperfunction Cushing Syndrome Zapata Pizarro,Antonio Galleguillos Valdivia,Michel García Jara,Víctor Espinoza Cohen,Baldo Ablan Candia,Franklin Güenchor García,David Valenzuela Cruz,José Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
description	We report a previously healthy 34-year-old woman, presenting with a seven-month history of arterial hypertension, amenorrhea, weight gain, facial edema, acne, hirsutism and low back pain. A CT scan showed a right adrenal mass of 18 × 13 × 12.5 cm, and multiple vertebral and rib fractures. The hormonal study confirmed Cushing's Syndrome. Ketoconazole, spironolactone, cotrimoxazole, calcium / vitamin D were started. An adrenalectomy with a right nephrectomy were performed. The excised tumor measured 16 cm and weighed 1.55 kg. There was tumor embolism and a 4 mm soft tissue involvement (pT3NxMx). The right kidney was free of tumor. The patient was treated with chemotherapy (etoposide plus cisplatin). Study of vertebral fractures with magnetic resonance (MRI) showed crush fractures, without images of metastatic bone lesions. One year after surgery, a CT scan showed no signs of tumor recurrence. The patient was lost from follow-up thereafter.
author	Zapata Pizarro,Antonio Galleguillos Valdivia,Michel García Jara,Víctor Espinoza Cohen,Baldo Ablan Candia,Franklin Güenchor García,David Valenzuela Cruz,José
author_facet	Zapata Pizarro,Antonio Galleguillos Valdivia,Michel García Jara,Víctor Espinoza Cohen,Baldo Ablan Candia,Franklin Güenchor García,David Valenzuela Cruz,José
author_sort	Zapata Pizarro,Antonio
title	Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
title_short	Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
title_full	Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
title_fullStr	Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
title_full_unstemmed	Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico
title_sort	síndrome de cushing provocado por carcinoma suprarrenal gigante. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001101679
work_keys_str_mv	AT zapatapizarroantonio sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT galleguillosvaldiviamichel sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT garciajaravictor sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT espinozacohenbaldo sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT ablancandiafranklin sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT guenchorgarciadavid sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico AT valenzuelacruzjose sindromedecushingprovocadoporcarcinomasuprarrenalgigantecasoclinico
_version_	1718437167135457280

Síndrome de Cushing provocado por carcinoma suprarrenal gigante. Caso clínico

Ejemplares similares