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Pak J Med Sci. 2017 Mar-Apr;33(2):510-512. doi: 10.12669/pjms.332.12877.

Extension of Adrenocortical Carcinoma into the Right Atrium.

Author information

1
Yulanka Castro-Dominguez, MD. Department of Cardiology, Yale University School of Medicine, New Haven, CT 06510, USA.
2
Fatima Samad, MD. Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Center, University of Wisconsin School of Medicine and Public Health, 2801 W. Kinnickinnic River Parkway, Suite 840, Milwaukee, Wisconsin, 53215 USA.
3
Hayder Hashim, MD. Division of Cardiology, Rutgers - New Jersey Medical School, Newark, NJ 07013, USA.
4
Alfonso Waller, MD. Division of Cardiology, Rutgers - New Jersey Medical School, Newark, NJ 07013, USA.

Abstract

Adrenocortical carcinoma (ACC) is a rare and highly aggressive malignant neoplasm which can produce intravascular extension into the inferior vena cava (IVC) rarely extend into the right atrium (RA). We report a case of a male patient with large ACC with extension into the IVC and RA. Computed tomography showed a large right adrenal mass with contiguous tumor thrombus extending into IVC and RA with extension to the level of tricuspid valve. Patient underwent combined cardiac and abdominal surgical intervention on cardiopulmonary bypass with removal of the mass.

KEYWORDS:

Adrenocortical Carcinoma; Right Atrium

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