Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature

Herein, we report an unusual case of a 78-year-old woman with synchronous presentation of sigmoid cancer and a nonfunctioning primary adrenal cortex carcinoma, who developed superior vena cava syndrome due to metastatic lymphadenopathy from the latter malignancy. Our case suggests that adrenal incid...

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Main Authors: Panagiota Economopoulou, Giannis Mountzios, Ioannis Kotsantis, Marios Bakogeorgos, Vassilios Ramfidis, Ioannis Kapiris, Efstratios Patsouris, Nikolaos Kentepozidis
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/461409
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author Panagiota Economopoulou
Giannis Mountzios
Ioannis Kotsantis
Marios Bakogeorgos
Vassilios Ramfidis
Ioannis Kapiris
Efstratios Patsouris
Nikolaos Kentepozidis
author_facet Panagiota Economopoulou
Giannis Mountzios
Ioannis Kotsantis
Marios Bakogeorgos
Vassilios Ramfidis
Ioannis Kapiris
Efstratios Patsouris
Nikolaos Kentepozidis
author_sort Panagiota Economopoulou
collection DOAJ
description Herein, we report an unusual case of a 78-year-old woman with synchronous presentation of sigmoid cancer and a nonfunctioning primary adrenal cortex carcinoma, who developed superior vena cava syndrome due to metastatic lymphadenopathy from the latter malignancy. Our case suggests that adrenal incidentalomas during initial staging evaluation after cancer diagnosis are not always “innocent” and should not be “a priori” considered incidental findings attributed to hyperplasia, adenoma or even a non life-threatening metastasis from the primary tumor. It also emphasizes the importance of a continuous assessment of patients with synchronous primary malignancies, in order to timely evaluate changes in clinical or biological behavior and administrate the appropriate treatment.
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publishDate 2013-01-01
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series Case Reports in Medicine
spelling doaj-art-366621e279db46b8928ce71aab9386122025-02-03T01:02:31ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/461409461409Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the LiteraturePanagiota Economopoulou0Giannis Mountzios1Ioannis Kotsantis2Marios Bakogeorgos3Vassilios Ramfidis4Ioannis Kapiris5Efstratios Patsouris6Nikolaos Kentepozidis7251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 2nd Department of Surgery, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, GreeceUniversity of Athens, Department of Pathology, 75th Mikras Asias Street, Goudi, 11527 Athens, Greece251 Airforce General Hospital, Medical Oncology Department, 3RD P. Kanellopoulou Street, Katehaki, 11725 Athens, GreeceHerein, we report an unusual case of a 78-year-old woman with synchronous presentation of sigmoid cancer and a nonfunctioning primary adrenal cortex carcinoma, who developed superior vena cava syndrome due to metastatic lymphadenopathy from the latter malignancy. Our case suggests that adrenal incidentalomas during initial staging evaluation after cancer diagnosis are not always “innocent” and should not be “a priori” considered incidental findings attributed to hyperplasia, adenoma or even a non life-threatening metastasis from the primary tumor. It also emphasizes the importance of a continuous assessment of patients with synchronous primary malignancies, in order to timely evaluate changes in clinical or biological behavior and administrate the appropriate treatment.http://dx.doi.org/10.1155/2013/461409
spellingShingle Panagiota Economopoulou
Giannis Mountzios
Ioannis Kotsantis
Marios Bakogeorgos
Vassilios Ramfidis
Ioannis Kapiris
Efstratios Patsouris
Nikolaos Kentepozidis
Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
Case Reports in Medicine
title Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
title_full Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
title_fullStr Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
title_full_unstemmed Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
title_short Adrenal Incidentalomas in Cancer Patients Are Not Always “Innocent”: A Case Report and Review of the Literature
title_sort adrenal incidentalomas in cancer patients are not always innocent a case report and review of the literature
url http://dx.doi.org/10.1155/2013/461409
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