Surgical resection of a virilizing adrenal mass with extensive tumor thrombus

Jeffrey Gahan, Samir P. Shirodkar, Michael Gorin, Tomas A. Salerno, Gaetano Ciancio

Research output: Contribution to journalArticle

Abstract

Adrenocortical carcinoma with tumor thrombus and concomitant testosterone production is a rare entity. We describe a case of a 53-year-old woman with a testosterone producing left-sided adrenocortical carcinoma with tumor extending to the right atrium and tumor embolus to the right pulmonary artery. To our knowledge, there exist no such reported cases in the medical literature. We describe our use of techniques derived from transplant surgery for the removal of this mass. Critical components for successful resection included early renal artery ligation, hepatic mobilization off the inferior vena cava, and minimization of cardiopulmonary bypass time thus eliminating the need for deep hypothermic circulatory arrest.

Original languageEnglish (US)
Pages (from-to)5735-5738
Number of pages4
JournalCanadian Journal of Urology
Volume18
Issue number3
StatePublished - Jun 1 2011
Externally publishedYes

Fingerprint

Adrenocortical Carcinoma
Thrombosis
Testosterone
Deep Hypothermia Induced Circulatory Arrest
Neoplasms
Inferior Vena Cava
Renal Artery
Embolism
Heart Atria
Cardiopulmonary Bypass
Pulmonary Artery
Ligation
Transplants
Liver

Keywords

  • Adrenocortical carcinoma
  • Cardiopulmonary bypass
  • Paraneoplastic syndrome
  • Tumor thrombus

ASJC Scopus subject areas

  • Urology

Cite this

Gahan, J., Shirodkar, S. P., Gorin, M., Salerno, T. A., & Ciancio, G. (2011). Surgical resection of a virilizing adrenal mass with extensive tumor thrombus. Canadian Journal of Urology, 18(3), 5735-5738.

Surgical resection of a virilizing adrenal mass with extensive tumor thrombus. / Gahan, Jeffrey; Shirodkar, Samir P.; Gorin, Michael; Salerno, Tomas A.; Ciancio, Gaetano.

In: Canadian Journal of Urology, Vol. 18, No. 3, 01.06.2011, p. 5735-5738.

Research output: Contribution to journalArticle

Gahan, J, Shirodkar, SP, Gorin, M, Salerno, TA & Ciancio, G 2011, 'Surgical resection of a virilizing adrenal mass with extensive tumor thrombus', Canadian Journal of Urology, vol. 18, no. 3, pp. 5735-5738.
Gahan J, Shirodkar SP, Gorin M, Salerno TA, Ciancio G. Surgical resection of a virilizing adrenal mass with extensive tumor thrombus. Canadian Journal of Urology. 2011 Jun 1;18(3):5735-5738.
Gahan, Jeffrey ; Shirodkar, Samir P. ; Gorin, Michael ; Salerno, Tomas A. ; Ciancio, Gaetano. / Surgical resection of a virilizing adrenal mass with extensive tumor thrombus. In: Canadian Journal of Urology. 2011 ; Vol. 18, No. 3. pp. 5735-5738.
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