Medicina v Kuzbasse (Dec 2022)
CLINICAL OBSERVATION OF A LOW-AGGRESSIVE COURSE OF ADRENOCORTICAL CANCER
Abstract
Adrenocortical cancer (ACR) is a rare malignant tumor characterized by an aggressive clinical course with a high mortality rate and an unfavorable therapeutic prognosis. However, in some cases, ACR proceeds indolently, when patients with proven distant metastases or recurrence of ACR live without progression for a sufficiently long time. A clinical case of a patient whose primary tumor was diagnosed and removed 13 years ago (in 2009) is presented. Subsequently, she underwent the removal of recurrent and metastatic tumors three times (in 2011, in 2015 and in 2018). Currently, according to PET CT with 18F-FDG, nodular formations with low metabolic activity are determined in the subdiaphragmatic space of the patient.