CLINICAL OBSERVATION OF A LOW-AGGRESSIVE COURSE OF ADRENOCORTICAL CANCER

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Наталья Николаевна Константинова
Валерия Викторовна Романова
Александр Карлович Лейсле
Светлана Ивановна Елгина
Вадим Гельевич Мозес
Елена Владимировна Рудаева
Кира Борисовна Мозес

Abstract

Adrenocortical cancer (ACR) is a rare malignant tumor characterized by an aggressive clinical course with a high mortality rate and an unfavorable therapeutic prognosis. However, in some cases, ACR proceeds indolently, when patients with proven distant metastases or recurrence of ACR live without progression for a sufficiently long time. A clinical case of a patient whose primary tumor was diagnosed and removed 13 years ago (in 2009) is presented. Subsequently, she underwent the removal of recurrent and metastatic tumors three times (in 2011, in 2015 and in 2018). Currently, according to PET CT with 18F-FDG, nodular formations with low metabolic activity are determined in the subdiaphragmatic space of the patient.

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Section

CASE HISTORY

Author Biographies

Наталья Николаевна Константинова, Kuzbass Clinical Hospital named after S.V. Belyaev, Kemerovo

candidate of medical sciences, surgeon, endocrinologist, department of endocrine surgery

Валерия Викторовна Романова, Kuzbass Clinical Pathology and Anatomical Bureau, Kemerovo

pathologist

Александр Карлович Лейсле, Kuzbass Clinical Hospital named after S.V. Belyaev, Kemerovo

radiologist, radiology department N 2

Светлана Ивановна Елгина, Kemerovo State Medical University

doctor of medical sciences, docent, professor of department of obstetrics and gynecology N 1

Вадим Гельевич Мозес, Kemerovo State University

doctor of medical sciences, professor, director of the Medical Institute

Елена Владимировна Рудаева, Kemerovo State Medical University

candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Кира Борисовна Мозес, Kemerovo State Medical University

assistant of the department of polyclinic therapy and nursing

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