Article ; Online: Metastatic Merkel Cell Carcinoma Within a Cortisol-producing Adrenal Adenoma.
JCEM case reports
2023 Volume 1, Issue 5, Page(s) luad100
Abstract: A 54-year-old man with hypertension, type 2 diabetes mellitus, and a history of Merkel cell carcinoma (MCC) of the right thigh presented to the emergency department with a 4-day history of right lower-quadrant abdominal pain associated with constipation ... ...
| Abstract | A 54-year-old man with hypertension, type 2 diabetes mellitus, and a history of Merkel cell carcinoma (MCC) of the right thigh presented to the emergency department with a 4-day history of right lower-quadrant abdominal pain associated with constipation and decreased appetite. Workup showed a heterogenous 6-cm right adrenal mass with macroscopic fat. Imaging was suggestive of benign pathology. Hormonal workup for the adrenal nodule led to the diagnosis of Cushing syndrome. The patient underwent a right adrenalectomy for Cushing syndrome with pathology revealing a 6.5-cm adrenocortical adenoma harboring a 2-cm, well-circumscribed neuroendocrine tumor consistent with metastatic MCC. Adrenal collision tumors are exceedingly rare. This case describes a collision tumor that has not previously been identified-a cortisol-producing adrenal adenoma and metastatic MCC. |
|---|---|
| Language | English |
| Publishing date | 2023-09-20 |
| Publishing country | England |
| Document type | Case Reports |
| ISSN | 2755-1520 |
| ISSN (online) | 2755-1520 |
| DOI | 10.1210/jcemcr/luad100 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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