Abstract
A 61-year-old female was admitted to the hospital because of general fatigue and hoaresness. An elastic soft, smooth surfaced and nontender mass was palpable in the left lobe of the thyroid gland. Radiographic examinations revealed a benign thyroid adenoma. Abdominal ultrasonography, however, a 9×7cm solid tumor presenting as well-defined heterogenous internal echoic picture between the spleen and left kidney. CT and MRI indicated a well-defined homogenous adrenal mass. In endocrinologic examination elevated serum DHEA-sulfate, progesteron, and urinary 17-KS were noted. Functioning adrenocortical tumor was suspected and adrenalectomy was performed. The removed adrenal tumor was 10×8×7cm in sizeand 295g in weight and covered with thin fibrus capsule. Its cut surface was brown. It was a elastic hard and solid tumor, scatering with hemorrhagic and necrotic lesions. Histologically the tumor was adrenocortical carcinoma. The patient is well as of half year after the operation.
