Peritoneal carcinomatosis following laparoscopic resection of an adrenocortical tumor causing primary hyperaldosteronism

被引:37
作者
Deckers, S
Derdelinckx, L
Col, V
Hamels, J
Maiter, D
机构
[1] Catholic Univ Louvain, Serv Endocrinol, Clin St Luc, B-1200 Brussels, Belgium
[2] Inst Pathol & Genet, Loverval, Belgium
关键词
carcinoma; adrenocortical; hyperaldosteronism; metastases; peritoneal; adrenalectomy; laparoscopic;
D O I
10.1159/000023442
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A clinical syndrome combining hypertension and hypokalemic alkalosis led to the diagnosis of primary hyperaldosteronism, caused by a right-sided, 2 cm large, apparently benign aldosterone-producing adenoma. The adrenal tumor was completely resected by laparoscopic adrenalectomy. Six months after surgery, the patient exhibited a severe relapse of hyperaldosteronism. Extensive peritoneal metastases of a mixed aldosterone- and cortisol-secreting adrenocortical carcinoma were found at abdominal laparotomy. In the light of this case report, we discuss the possibility that laparoscopic resection of adrenocortical tumors might contribute to their subsequent peritoneal dissemination. Copyright (C) 2000 S. Karger AG, Basel.
引用
收藏
页码:97 / 100
页数:4
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