TY  - EJOU
AU  - Gahan, Jeffrey 
AU  - Shirodkar, Samir P. 
AU  - Gorin, Michael A. 
AU  - Salerno, Tomas A. 
AU  - Ciancio, Gaetano 

TI  - Surgical resection of a virilizing adrenal mass with extensive tumor thrombus
T2  - Canadian Journal of Urology

PY  - 2011
VL  - 18
IS  - 3
SN  - 1488-5581

AB  - 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.
KW  - adrenocortical carcinoma
KW  -  tumor thrombus
KW  -  cardiopulmonary bypass
KW  -  paraneoplastic syndrome

DO  -