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  • Title: [Diagnostic pitfalls with Cushing's syndrome].
    Author: Hunger-Battefeld W, Gajda M, Hansch A, Mandecka A, Müller UA, Wolf G.
    Journal: Internist (Berl); 2010 Mar; 51 Suppl 1():293-302. PubMed ID: 20012255.
    Abstract:
    Adrenal cortical carcinoma is a rare diagnosis and may present with hormone secretion. A histological differentiation between an adrenal cortical adenoma and carcinoma can be very difficult. However, a fast diagnosis including staging and complete surgical resection is pivotal for the prognosis of an adrenal cortical carcinoma. Metastasing adrenal cortical carcinoma should be treated with a mitotane based chemotherapy, and inclusion in the "firm-act study" is highly recommended. The present case report demonstrates the diagnostic pitfalls in a female patients with Cushing's syndrome who suffered from metastasing adrenal cortical carcinoma.
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