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Sunday 20 October 2013

CASE 214: ADRENAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 50 yo, hypertension on medical treatment, well controlled, one week ago she was getting very weak and  falling down to brain trauma. CT scan the head has nothing, but  blood test  showed hypokalemia  K = 1.7 mEq /ml, abnormal EKG  with  wave T= U deformation. Ultrasound scan of abdomen detected one  2cm small tumor at right adrenal area (2 pictures).




MSCT with CE showed  this tumor in high enhancement (HU= 8.2  rising to 59.9) (see 2 CT pictures).




Blood tests from adrenal gland hormones were normal, aldosterone dynamic test was=84 pg/mL, after test 115pg/mL.
This case was operated by endoscopy for removing this tumor. See macro and microscopic specimen and report is adenoma of cortical adrenal (photo).



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