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Indian Journal of Medical and Paediatric Oncology
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Year : 2009  |  Volume : 30  |  Issue : 1  |  Page : 24-27

Adrenocortical carcinoma with skeletal metastases in a postmenopausal woman

Department of Radiotherapy, Medical College Hospital, 88, College Street, Kolkata - 700 073, India

Correspondence Address:
Shila Mitra
11A Bhabanath Sen Street, Kolkata - 700 004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-5851.56332

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Adrenocortical cancer is a very rare tumor with a poor prognosis. About half of them are hormone-secreting tumors. In most cases, hormonal investigations reveal an excess secretion of steroids, mostly cortisol and androgens. A 54-year-old lady presented with history of pain in left shoulder and leg for 6 months and features of virilization. CT-guided fine-needle aspiration cytology of an abdominal mass revealed the presence of a carcinoma of the left adrenal cortex. A whole-body radionuclide bone scan revealed increased uptake in the left clavicle and left femur. The patient has received palliative radiotherapy for the skeletal lesions and 3 cycles of palliative chemotherapy at present.

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