Open Access

RESIDENT’S CORNER

Surgical resection of a virilizing adrenal mass with extensive tumor thrombus

Jeffrey Gahan¹, Samir P. Shirodkar¹, Michael A. Gorin¹, Tomas A. Salerno², Gaetano Ciancio^1,3

1 Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
2 Department of Surgery, Division of Cardiothoracic Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
3 Department of Surgery, Division of Transplantation, University of Miami Miller School of Medicine, Miami, Florida, USA
Address correspondence to Dr. Gaetano Ciancio, Department of Surgery, Division of Transplantation, University of Miami Miller School of Medicine, P O Box 012440, Miami, FL 33101 USA

Canadian Journal of Urology 2011, 18(3), 5735-5738.

Abstract

Adrenocortical carcinoma with tumor thrombus and concomitant testosterone production is a rare entity. We describe a case of a 53-year-old woman with a testosterone producing left-sided adrenocortical carcinoma with tumor extending to the right atrium and tumor embolus to the right pulmonary artery. To our knowledge, there exist no such reported cases in the medical literature. We describe our use of techniques derived from transplant surgery for the removal of this mass. Critical components for successful resection included early renal artery ligation, hepatic mobilization off the inferior vena cava, and minimization of cardiopulmonary bypass time thus eliminating the need for deep hypothermic circulatory arrest.

---

Keywords

---