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CASE REPORT
Year : 2014  |  Volume : 30  |  Issue : 3  |  Page : 339-341

Aldosterone and cortisol co-secreting bifunctional adrenal cortical carcinoma: A rare event


Department of Urology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
Puskar Shyam Chowdhury
SF-1, Maragatham Apartment, Ellaipillaichavadi, Puducherry - 605 005
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.134248

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Adrenocortical carcinoma (ACC) co-secreting aldosterone and cortisol is extremely rare. We report the case of a 37-yearold female who presented with paresis and facial puffiness. Evaluation revealed hypertension, hyperglycemia, severe hypokalemia and hyperaldosteronemia with elevated plasma aldosterone to renin ratio (ARR). Urinary free cortisol estimation showed elevated levels. Computed tomography scan revealed a right adrenal mass. Radical adrenalectomy specimen revealed ACC (T3N1). Post-operatively, the patient became normotensive and euglycemic with normalization of urinary cortisol and ARR. This case highlights the need for a complete evaluation in patients of hyperaldosteronism if overlapping symptoms of hypercortisolism are encountered, to avoid post-operative adrenal crisis.


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