Abstract

CASALLAS, Martha Alejandra  and  CALDERON, Carlos Mauricio. Cushing´s syndrome due to a left adrenal cortical carcinoma with metastasis to the liver and a massive vena cava tumor thrombus. Biomédica [online]. 2012, vol.32, n.4, pp.490-498. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.v32i4.568.

A 47-year-old woman with a seven-month history of increasing weight, hypertension and recently diagnosed diabetes presented features of hirsutism, frontal baldness, amenorrhea and hypokalemia. These characteristics were considered diagnostic of Cushing´s syndrome, and studies were initialized to identify its etiology. During hospitalization, the patient presented a torpid evolution resulting in death. Clinical autopsy revealed a 400 g carcinoma in the left adrenal gland, liver metastasis and a massive vena cava tumor thrombus which was the final cause of death.

Keywords : Hirsutism; alopecia; Cushing syndrome; adrenal cortex; carcinoma; neoplasm metastasis.

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