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Original Article
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Korean J Med. 2009;77(5):1206-1211.
- 기능성 재발을 보인 알도스테론 분비성 부신피질암 1예
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문형일·김지은·이성수·진종률·박일영·강성구·유순집, , , , , ,
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- A case of aldosterone-producing adrenocortical carcinoma (APAC) with functional recurrence
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Hyung-Il Moon, Ji-Eun Kim, Seong-Su Lee, Jong-Youl Jin, Il Young Park, Sung-Koo Kang, Soon-Jib Yoo
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- Abstract
- Aldosterone-producing adrenocortical carcinoma (APAC) is an extremely rare disease. Recently, we experienced a case of recurrent
and metastatic APAC: 10 months ago a 27-year-old female was admitted for uncontrolled hypertension after laparoscopic
right adrenalectomy due to APAC. A radical operation and chemotherapy had previously been performed based on the diagnosis of
APAC with functional recurrence. One-year later, metastasis to the right psoas muscle occurred, which required extensive excision
and radiation therapy. Radical surgery is the only curative approach for APAC and is recommended for all patients with resectable
tumors, even those with recurrent disease. Here we report a case of functional APAC (aldosterone-producing) that presented with
recurrence and metastasis. (Korean J Med 77:S1206-S1211, 2009)
Keywords :Aldosterone-producing adrenocortical carcinoma (APAC), Recurrence, Uncontrolled hypertension
