Spontaneous adrenal hemorrhage with dehydroepiandrosterone-sulfate elevation in a patient with suspected adrenal cortical carcinoma

IJU Case Reports

article

Kota Shimokihara¹  Takashi Kawahara¹  Taku Mochizuki¹  Ryota Morinaga¹  Koji Izumi¹  Hiroyuki Sanjyo²  Noboru Nakaigawa²  Masahiro Yao²  Masako Otani³  Hiroji Uemura¹ 

[1] Departments of Urology and Renal Transplantation, Yokohama City University Medical Center;Department of Urology, Yokohama City University Graduate School of Medicine;Division of Diagnostic Pathology, Yokohama City University Medical Center

关键词: adrenal cancer;    adrenal cortical carcinoma;    adrenal hemorrhage;    adrenal tumor;    DHEA-S.;   

DOI  :  10.1002/iju5.12053

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Introduction Spontaneous adrenal hemorrhage is a relatively rare disease that is sometimes difficult to differentiate from adrenal cortical carcinoma. We herein report a case of spontaneous adrenal hemorrhage with dehydroepiandrosterone-sulfate elevation. Case presentation The patient was a 78-year-old man with an adrenal tumor that had increased in size to 42 mm. With the exception of an elevated dehydroepiandrosterone-sulfate level (2281 ng/mL), the results of a hormone analysis were almost normal. Laparoscopic adrenal tumor resection was performed. The pathological diagnosis was adrenal hematoma. Conclusion We reported a case of spontaneous adrenal hemorrhage in a patient with dehydroepiandrosterone-sulfate elevation.

【 授权许可】

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