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).


No comments:
Post a Comment