Open Access
Extension of Adrenocortical Carcinoma into the Right Atrium
Author(s) -
Yulanka CastroDominguez,
Fatima Samad,
Hayder Hashim,
Alfonso H. Waller
Publication year - 2017
Publication title -
pakistan journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.316
H-Index - 30
eISSN - 1682-024X
pISSN - 1681-715X
DOI - 10.12669/pjms.332.12877
Subject(s) - medicine , adrenocortical carcinoma , inferior vena cava , thrombus , right atrium , radiology , tricuspid valve , surgery
Adrenocortical carcinoma (ACC) is a rare and highly aggressive malignant neoplasm which can produce intravascular extension into the inferior vena cava (IVC) rarely extend into the right atrium (RA). We report a case of a male patient with large ACC with extension into the IVC and RA. Computed tomography showed a large right adrenal mass with contiguous tumor thrombus extending into IVC and RA with extension to the level of tricuspid valve. Patient underwent combined cardiac and abdominal surgical intervention on cardiopulmonary bypass with removal of the mass.