Adrenocortical carcinoma (patient information): Difference between revisions
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==Treatment== | ==Treatment== | ||
Primary treatment is surgery to remove the tumor. Adrenocortical carcinoma may not improve with [[chemotherapy]]. Medications may be given to reduce production of cortisol, which causes many of the symptoms. | Primary treatment is surgery to remove the tumor. Adrenocortical carcinoma may not improve with [[chemotherapy]]. Medications may be given to reduce production of cortisol, which causes many of the symptoms. | ||
==What to expect (Outlook/Prognosis)?== | |||
The outcome depends on how early the diagnosis is made and whether the tumor has spread (metastasized). Tumors that have spread usually lead to death within 1 to 3 years | |||
==References== | ==References== | ||
Revision as of 02:30, 28 July 2012
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Adrenocortical carcinoma Microchapters |
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Differentiating Adrenocortical carcinoma from other Diseases |
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Diagnosis |
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Treatment |
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Case Study |
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Adrenocortical carcinoma (patient information) On the Web |
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American Roentgen Ray Society Images of Adrenocortical carcinoma (patient information) |
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Risk calculators and risk factors for Adrenocortical carcinoma (patient information) |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Adrenocortical carcinoma is a cancer of the adrenal glands.
What are the symptoms of Adrenocortical carcinoma ?
Symptoms that suggest increased cortisol or other adrenal gland hormone production:
- Fatty, rounded hump high on the back just below the neck (buffalo hump)
- Flushed rounded face with pudgy cheeks (moon face)
- Obesity
- Stunted growth in height (short stature)
- Virilization - the appearance of male characteristics, including increased body hair (especially on the face), pubic hair, acne, deepening of voice, and enlarged clitoris (girls)
Symptoms that suggest increased aldosterone production are the same as symptoms of low potassium and include:
- Increased thirst
- Muscle cramps
- Urination
- Weakness
What causes Adrenocortical carcinoma ?
Adrenocortical carcinoma is most common in children younger than 5 and adults in their 30s and 40s.
Adrenocortical carcinoma may be linked to a cancer syndrome that is passed down through families (inherited). Both men and women can develop this tumor.
Adrenocortical carcinoma can produce the hormones cortisol, aldosterone, estrogen, or testosterone, as well as other hormones. In women the tumor often releases these hormones, which can lead to male characteristics.
The cause is unknown. About 2 people per million develop this type of tumor.
Diagnosis
A physical exam may reveal high blood pressure and changes in body shape, such as breast enlargement in men (gynecomastia) or male characteristics in women (virilization). Blood tests will be done to check hormone levels:
- ACTH level will be low.
- Aldosterone level will be high.
- Cortisol level will be high.
- Potassium level will be low.
Imaging tests may include:
When to contact a Medical Professional ?
Call your health care provider if you or your child has symptoms of adrenocortical carcinoma, Cushing syndrome, or failure to grow.
Treatment
Primary treatment is surgery to remove the tumor. Adrenocortical carcinoma may not improve with chemotherapy. Medications may be given to reduce production of cortisol, which causes many of the symptoms.
What to expect (Outlook/Prognosis)?
The outcome depends on how early the diagnosis is made and whether the tumor has spread (metastasized). Tumors that have spread usually lead to death within 1 to 3 years
References