Rare complication of acute adrenocortical dysfunction in adrenocortical carcinoma after transcatheter arterial chemoembolization:A case report  

作　　者：Zhi-Long Wang Xin Sun Feng-Li Zhang Ting Wang Ping Li 

机构地区：[1]Graduate School,Anhui University of Chinese Medicine,Hefei 230038,Anhui Province,China [2]Department of Chinese Integrative Medicine Oncology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2021年第26期7937-7943,共7页世界临床病例杂志

摘　　要：BACKGROUND Adrenocortical carcinoma(ACC)is a rare and highly invasive endocrine malignant tumor with a poor prognosis.Although surgical resection is the main treatment for ACC,postoperative recurrence and metastasis have become the important factors of death.Transcatheter arterial chemoembolization(TACE)is an important option for the treatment of advanced ACC with liver metastasis.However,due to the small number of patients treated for ACC,the safety of the operation is not completely clear and needs to be further studied.CASE SUMMARY A 47-year-old patient with ACC after surgery was admitted for reexamination by abdominal computerized tomography suggesting liver metastasis.Because the patient expressed reluctance to undergo surgery again,we treated her with TACE for the liver lesions.After treatment,symptoms of acute adrenal dysfunction such as decreased blood pressure,anorexia,and fatigue appeared,which were relieved after hydrocortisone treatment.To date,the patient's liver lesion is well controlled and no other metastases are observed.CONCLUSION We report a rare case of acute adrenal hypofunction after TACE.Glucocorticoid supplementation can alleviate the symptoms.

关 键 词：Adrenocortical carcinoma Adrenocortical hypofunction Transcatheter arterial chemoembolization Liver metastasis TREATMENTS Case report 

分 类 号：R736.6[医药卫生—肿瘤]