Korean J Med > Volume 77(5); 2009 > Article
The Korean Journal of Medicine 2009;77(5):1206-1211.
A case of aldosterone-producing adrenocortical carcinoma (APAC) with functional recurrence
Hyung-Il Moon, Ji-Eun Kim, Seong-Su Lee, Jong-Youl Jin, Il Young Park, Sung-Koo Kang, Soon-Jib Yoo
기능성 재발을 보인 알도스테론 분비성 부신피질암 1예
문형일·김지은·이성수·진종률·박일영·강성구·유순집, Ji-Eun Kim, Seong-Su Lee, Jong-Youl Jin, Il Young Park, Sung-Koo Kang, Soon-Jib Yoo
Abstract
Aldosterone-producing adrenocortical carcinoma (APAC) is an extremely rare disease. Recently, we experienced a case of recurrent and metastatic APAC: 10 months ago a 27-year-old female was admitted for uncontrolled hypertension after laparoscopic right adrenalectomy due to APAC. A radical operation and chemotherapy had previously been performed based on the diagnosis of APAC with functional recurrence. One-year later, metastasis to the right psoas muscle occurred, which required extensive excision and radiation therapy. Radical surgery is the only curative approach for APAC and is recommended for all patients with resectable tumors, even those with recurrent disease. Here we report a case of functional APAC (aldosterone-producing) that presented with recurrence and metastasis. (Korean J Med 77:S1206-S1211, 2009)
Key Words: Aldosterone-producing adrenocortical carcinoma (APAC); Recurrence; Uncontrolled hypertension


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