MARC details
000 -LEADER |
fixed length control field |
03834nam a22004697a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
210607s20212021 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
2376-0605 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.aace.2020.11.011 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
PMC7924156 [pmc] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S2376-0605(20)31012-9 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
33851019 |
245 ## - TITLE STATEMENT |
Title |
Nonseminomatous Germ-Cell Tumor Presenting as Bilateral Adrenal Masses. |
251 ## - Source |
Source |
Aace Clinical Case Reports. 7(1):43-46, 2021 Jan-Feb. |
252 ## - Abbreviated Source |
Abbreviated source |
AACE clin. case rep.. 7(1):43-46, 2021 Jan-Feb. |
253 ## - Journal Name |
Journal name |
AACE clinical case reports |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2021 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
epublish |
266 ## - Date added to catalog |
Date added to catalog |
2021-06-07 |
520 ## - SUMMARY, ETC. |
Abstract |
Conclusion: We report a rare case of rapidly progressing adrenal masses in a young man, found to have metastasized from nonseminomatous germ-cell tumors. Histopathologic confirmation of the metastatic tumor was done, which prevented unnecessary adrenalectomy. The patient received appropriate chemotherapy. Copyright (c) 2020 AACE. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
Methods: The diagnosis of the adrenal masses from the nonseminomatous germ-cell tumor of a retroperitoneal lymph node origin was based on a retroperitoneal lymph node core biopsy. An initial core biopsy of the adrenal gland revealed necrotic tissue and inflammatory cells without evidence of malignancy. Due to nondiagnostic findings, the core biopsy was repeated, which showed degenerating cells with a high mitotic index and immunohistochemical staining positive for vimentin, suggesting the possibility of a high-grade sarcoma. A retroperitoneal lymph node biopsy was performed. The patient was started on chemotherapy. |
520 ## - SUMMARY, ETC. |
Abstract |
Objective: Many tumors can metastasize to the adrenal glands, making the diagnosis of adrenal masses challenging. Awareness that rare primary tumors can metastasize to the adrenals and consideration of biopsy for their diagnosis, sometimes at extra-adrenal sites, is essential to prevent unnecessary adrenalectomies and facilitate the right treatment. We report a rare case of bilateral adrenal masses due to metastasis from a nonseminomatous germ-cell tumor of a retroperitoneal lymph node origin. |
520 ## - SUMMARY, ETC. |
Abstract |
Results: A 34-year-old man presented with acute left upper-abdominal pain of 2 weeks and tenderness on the left upper quadrant of the abdomen, and he was found to have bilateral adrenal masses. Laboratory results showed the following: adrenocorticotropic hormone 41 pg/mL (7-69 pg/mL), metanephrine <0.1 nmol/L (0-0.49 nmol/L), normetanephrine 0.99 nmol/L (0-0.89 nmol/L), and morning cortisol 3.1 mug/dL after a 1-mg dexamethasone-suppression test. His dehydroepiandrosterone sulfate level was 62 mug/dL (120-520 mug/dL), and 17OH progesterone level was 36 ng/dL (<138 ng/dL); androstenedione and serum estradiol levels were normal. Laboratory tests for tumor markers revealed the following: testosterone 21 ng/dL (241-827 ng/dL), prostate-specific antigen 0.57 ng/mL (0-4 ng/mL), alpha-fetoprotein 1.9 IU/mL (0.6-6 IU/ml), and beta-human chorionic gonadotropin 134 mIU/mL (0-1 mIU/mL). |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Cardiovascular Disease Fellowship |
656 ## - INDEX TERM--OCCUPATION |
Department |
Endocrinology Fellowship |
656 ## - INDEX TERM--OCCUPATION |
Department |
Medicine/Endocrinology |
656 ## - INDEX TERM--OCCUPATION |
Department |
Medicine/Nuclear Medicine |
656 ## - INDEX TERM--OCCUPATION |
Department |
Pathology |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Case Reports |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Baral, Neelam |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Basyal, Binaya |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kulkarni, Kanchan |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Lee, Wen |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Sharma, Meeta |
790 ## - Authors |
All authors |
Bansal R, Baral N, Basyal B, Kantorovich V, Kulkarni K, Lee W, Sharma M |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.aace.2020.11.011">https://dx.doi.org/10.1016/j.aace.2020.11.011</a> |
Public note |
https://dx.doi.org/10.1016/j.aace.2020.11.011 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |