内分泌非活性副腎皮質癌の1例

Abstract

A case of nonhormonal carcinoma of the adrenal cortex is presented. A 18-year-old man was admitted to our clinic with a chief complaint of hypertension with visual disturbance for 2 years. A pheochromocytoma was s uspected as a possible cause of his hypertension. Physical examination revealed a well developed and nourished pa t ient without distress. A retroperitoneal pneumogram revealed a mass localized above the right kidney . The size and position of a right adrenal tumor were clearly visualized (Fig. 2). He was successfully treated with total extirpation of right adrenal tu m or. The histological examination of the adrenal tumor showed adreno-cort i c al carcinoma. Nonfunctioning adreno-cortical carcinoma is a rare disease and only six specif i c mentions of nonhormonal carcinoma of the adrenal cortex could be found in Japanese literatures. A discussion was made on adreno-cortical tumors.