Adrenal cancer with hypertension but low plasma renin and aldosterone
Journal
Journal of the Formosan Medical Association
Journal Volume
98
Journal Issue
1
Pages
73-75
Date Issued
1999
Author(s)
Abstract
Patients with malignant lesions of the adrenal gland may present with a syndrome of excess mineralocorticoids. Both primary hyperaldosteronism and excess mineralocorticoids other than aldosterone resulting from adrenal carcinoma have rarely been reported. In most patients with adrenal tumors secreting mineralocorticoids other than aldosterone, distant metastasis had already occurred at the time of diagnosis and the prognosis was poor. We present a rare case of adrenal cancer with hypertension in a patient with low plasma renin activity and a low plasma aldosterone concentration. The patient's blood pressure returned to normal after removal of the tumor. The patient is still alive and without recurrence 6 years after surgery. This case illustrates the value of thorough evaluation of hypertension and prompt surgical treatment for patients with adrenal cancer.
SDGs
Other Subjects
aldosterone; renin; adrenal cortex carcinoma; adult; aldosterone blood level; article; case report; clinical feature; female; histopathology; human; human tissue; hypertension; pathophysiology; plasma renin activity; Adrenal Cortex Neoplasms; Adult; Aldosterone; Carcinoma; Female; Humans; Hypertension; Renin
Type
journal article