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Kohli HS, Manthri S, Jain S, Kashyap R, Chen S, Koritala T, Tekin A, Adhikari R, Tirupathi R, Barbaryan A, Zec S, Wang H, Welle S, Devulapally P, Sheraton M, Kaur M, Pattan V, Mamillapalli CK, Surani SR, Khan SA, Jain NK. An Adrenocortical Carcinoma Evolving After Nine Years of Latency From a Small Adrenal Incidentaloma. Cureus 2021; 13:e16851. [PMID: 34522492 PMCID: PMC8425154 DOI: 10.7759/cureus.16851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2021] [Indexed: 11/05/2022] Open
Abstract
Adrenal incidentalomas (AIs) are common incidental findings in medical practice with clinical significance. Although most AIs are nonsecretory and nonmalignant, they require a short course of follow-up over one to two years to rule out malignancy or hormonal secretion according to clinical practice guidelines. However, this can result in some adrenocortical carcinomas (ACCs) being missed if they transform at a later stage or evolve slowly. Here, we report one such case of an AI, which although remained indolent, eventually transformed into an ACC many years after the initial detection.
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Affiliation(s)
- Harpreet S Kohli
- Department of Hospital Medicine, Saint Vincent Hospital, Erie, USA
| | - Sukesh Manthri
- Department of Oncology, Mary Bird Perkins Cancer Center, Houma, USA
| | - Shikha Jain
- Department of Internal Medicine, MVJ Medical College, Bengaluru, IND
| | - Rahul Kashyap
- Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, USA
| | - Sheng Chen
- Department of Pathology, Memorial Medical Center, Springfield, USA
| | - Thoyaja Koritala
- Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA
| | - Aysun Tekin
- Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, USA
| | - Ramesh Adhikari
- Department of Hospital Medicine, Franciscan Health, Lafayette, USA.,Department of Geriatrics, Brown University, Providence, USA
| | | | - Aram Barbaryan
- Department of Internal Medicine, University of Kansas Health System, Kansas City, USA
| | - Simon Zec
- Department of Critical Care Medicine, Mayo Clinic, Rochester, USA
| | - Hanyin Wang
- Department of Hospital Medicine, Mayo Clinic Health System, Mankato, USA
| | - Stephanie Welle
- Department of Cardiology, Mayo Clinic Health System, Mankato, USA
| | | | - Mack Sheraton
- Emergency Medicine, Johns Hopkins University, Baltimore, USA
| | - Manpreet Kaur
- Department of Medicine, Drishti Advanced Eye and Diabetes Care Center, Patiala, IND
| | | | - Chaitanya K Mamillapalli
- Division of Endocrinology, Southern Illinois University School of Medicine, Springfield, USA.,Department of Endocrinology, Springfield Clinic, Springfield, USA
| | - Salim R Surani
- Department of Pulmonary and Critical Care Medicine, Texas A&M University, Corpus Christi, USA
| | - Syed Anjum Khan
- Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA
| | - Nitesh K Jain
- Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA
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