Abstract
The prognosis of adrenocortical cancer is poor, and there is not established treatment for progressive and recurrent adrenocortical cancer. We report a case of adrenocortical cancer successfully treated with chemotherapy.
The patient was a 29-year-old woman. She had been treated for malignant lymphoma with chemotherapy at the age of 17. When she was 27 years old, she was referred to the hospital because of a retroperitoneal tumor detected by a CT scan performed for persistent fever. No definite diagnosis was made and thus laparotomy was performed. The tumor was diagnosed as anaplastic carcinoma by an intraoperative rapid histopathological study. We did not perform surgical resection, and started chemotherapy (Etopside+CDDP). But the final histopathological diagnosis was adrenocortical cancer. We thus performed surgical resection after three courses of the chemotherapy. One year four months after the surgery, peritoneum recurrence was detected and the same chemotherapy (Etopside+CDDP) was performed. The tumor of the peritoneum reduced after eight courses of the chemotherapy.
