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Bilateral adrenal tumors of different type in an infant: A case report

التفاصيل البيبلوغرافية
العنوان: Bilateral adrenal tumors of different type in an infant: A case report
المؤلفون: Kui Shi, Xiaofeng Chang, Fang Liu, DeGuang Meng, Huanmin Wang
المصدر: Journal of Pediatric Surgery Case Reports, Vol 99, Iss , Pp 102736- (2023)
بيانات النشر: Elsevier, 2023.
سنة النشر: 2023
المجموعة: LCC:Pediatrics
LCC:Surgery
مصطلحات موضوعية: Bilateral adrenal tumor, Adreno-cortical carcinoma, Neuroblastoma, Case report, Pediatrics, RJ1-570, Surgery, RD1-811
الوصف: Introduction: Bilateral primary adrenal tumors are rare, and the majority of cases present the same histology. Bilateral adrenal tumors with different histology are extremely uncommon. Case presentation: A 6-month-old male presented with abdominal distension and excessive crying. Physical examination revealed a blood pressure (BP) of 108/80 mmHg, centripetal obesity, a “full moon” facial appearance, mild abdominal distension, tenderness to palpation, and no palpable masses. Bilateral adrenal tumors were found ultrasound. Contrast-enhanced computed tomography (CT) showed a soft tissue mass of 3.2 cm in diameter in the right adrenal gland and a mass of 2.1 cm in diameter in the left adrenal gland. Serum cortisol was 1563 nmol/L (normal: 96–551 nmol/L). After ruling out distant metastases, the patient underwent a right-sided adrenalectomy and a left adrenal tumor enucleation to preserve as much normal tissue as possible on the left adrenal gland. Pathology revealed a right adrenal cortical carcinoma and left adrenal poorly differenciated neuroblastoma. Post-surgery, the patient received hydrocortisone supplementation as needed and neuroblastoma-targeted chemotherapy. Hydrocortisone replacement was progressively reduced and eventually weaned off. No recurring lesions have been detected at 1 year of follow-up period. Conclusion: Bilateral adrenal tumors should never be assumed to be of similar type because, while extremely rare, bilateral tumors of different types are possible. All efforts should be made to preserve the normal adrenal tissue in cases of bilateral adrenal masses.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2213-5766
Relation: http://www.sciencedirect.com/science/article/pii/S2213576623001628; https://doaj.org/toc/2213-5766
DOI: 10.1016/j.epsc.2023.102736
URL الوصول: https://doaj.org/article/da3ad4993143405fadf6dfbe50611687
رقم الأكسشن: edsdoj.3ad4993143405fadf6dfbe50611687
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22135766
DOI:10.1016/j.epsc.2023.102736