Adrenalectomy for a Large Non‐Functional Adrenocortical Tumor With Aggressive Histopathologic Features: A Clinical Case Report
Jawad Khan, Abdul Eizad Asif, Hammad Yousaf, Haider Ali Nawaz, Muhammad Hassaan, Samiya Rahim, Farzana Yeasmin, Muddassir Khalid, Fred SegawaABSTRACT
Adrenocortical tumors are infrequent neoplasms, ranging from benign adenomas to aggressive carcinomas. They usually have an unspecific clinical presentation, thus being a challenge in diagnosis and treatment. The following case report discusses the management of a large, non‐functional adrenocortical tumor with histologically aggressive features, underlining the diagnostic workup, the multidisciplinary surgical approach, and the short‐term postoperative outcome after adrenalectomy. We report the case of a 40‐year‐old female patient presenting with dull left flank pain and a large, non‐functional adrenal mass. She underwent open left adrenalectomy. The resected specimen measured 8.4 × 7.6 × 6.5 cm and was histopathologically diagnosed as adrenocortical carcinoma. She was discharged on the 4th post‐operative day and at the 3‐month follow‐up was found to be disease‐free on imaging.