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KMID : 1214920150210020216
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Soonchunhyang Medical Science
2015 Volume.21 No. 2 p.216 ~ p.220
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A Case of Recurrent Adrenocortical Carcinoma with Stomach Metastasis
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Park Jin-Soo
Kim Hyoung-Joo
Lee So-Hee
Choi Yong-Won
Yim Hyun-Ee
Ahn Mi-Sun
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Abstract
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Adrenocortical carcinoma (ACC) is a rare disease with poor prognosis. We experienced a case of recurrent ACC with stomach metastasis which had been completely cured a long while ago. A 52-year-old man who presented with right thigh pain was hospitalized. We found a lumbar spine mass on magnetic resonance imaging scan. And this lesion was identified as metastatic adrenocortical carcinoma. The patient had been treated as stage II non-functioning ACC 19 years ago. At that time radical resection and adjuvant chemotherapy were successfully done. And the follow-up evaluation was discontinued, since it had been checked as no evidence of disease (NED) state for 5 years. But this time, there were multiple metastatic sites revealed in positron emission tomography?computed tomography scan including stomach. Therefore, we report a case of ACC herewith that it could be recurred even though long-term NED state was passed after treatment and stomach could be a metastatic site of ACC.
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KEYWORD
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Adrenocortical carcinoma, Recurrence, Neoplasm metastasis, Stomach
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