Abstract
Primary carcinoma of the adrenal cortex is an extremely rare neoplasm, accounting for an estimated 0.05–0.2% of all malignancies. Hormonally functioning tumors occur in about 50% of patients with Cushing’s syndrome (50%), virilism (30%) and feminization (12%) being the most common clinical manifestations. Isolated aldosteronism caused by adrenocortical carcinoma is found in about 1–3% in patients with the clinical signs of Conn’s syndrome. The only preoperative feature suggesting malignancy is a size of more than 5 cm in computed tomography. We report a rare case of a 29-year-old man with biochemically proven primary aldosteronism as the unique manifestation of a carcinoma of the right adrenal cortex.
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© 1995 S. Karger AG, Basel
1995
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