Open AccessGiant adrenal germ cell tumour in a 59-year-old woman
Author(s) -
Lei Chen,
Fang Lü,
Zhiqi Liu,
Dexin Yu,
Daming Wang,
Yi Wang,
Dong Xie,
Jie Min,
Demao Ding,
Tao Zhang,
Ci Zou,
Zhiqiang Zhang
Publication year - 2016
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.2904
Subject(s) - medicine , supraclavicular lymph nodes , lymph , pleural effusion , radiology , lymph node , adrenalectomy , surgery , pathology , metastasis , cancer
Adrenal germ cell tumour is very rare. We report a case of a 59-year-old woman who presented with right flank discomfort. The laboratory examinations were normal and the chest computed tomography (CT) showed right pleural effusion. The abdominal CT scan revealed a large mass on the right adrenal gland. The patient underwent an adrenalectomy. Histopathologic examination and immunohistochemical findings were consistent with mixed germ cell tumour. Three months later following the operation, the patient was admitted to our hospital again with chest tightness and shortness of breath. The chest CT showed right pleural effusion recurrence and enlargement of mediastinal lymph nodes and right hilar lymph nodes. The patient had right supraclavicular lymphadenectasis on physical examination. Fine needle aspiration cytology from the supraclavicular lymph nodes showed groups of malignant tumour cells. The patient died within 6 months postoperatively. In this case, the lymph node pathway played an important role in the metastatic procedure.