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Adrenal cortical carcinoma: A case of late pulmonary metastasis

A 71 year-old woman with a large tumor of the upper lobe of the left lung was diagnosed as having metastatic adrenal cortical carcinoma nine years after the initial adrenalo-nephrectomy. The patient was well with no recurrence for six years following resection of the single lung metastasis. (J Natl Med Assoc. 2001;93:37-39.)

Adrenocortical carcinoma is uncommon, affecting two people per one million population. It is a highly malignant tumor that is frequently metastatic at the time of diagnosis.1,2 Complete surgical excision, and sometimes repeated surgical procedures, are the only mode of therapy associated with prolonged disease-free survival. Five-year survival ranges between ...

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