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All Journal Jurnal Sains Teknologi dan Lingkungan (JSTL) Manuju : Malahayati Nursing Journal Intan Husada : Jurnal Ilmiah Keperawatan Bioscientist : Jurnal Ilmiah Biologi MAHESA : Malahayati Health Student Journal Indonesian Journal of Cancer Jurnal Sehat Indonesia (JUSINDO) Journal of Innovative and Creativity Bali Dermatology Venereology and Aesthetic Journal
Santosa, Hilda
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Adrenocortical Carcinoma with Infiltrated and Ruptured Inferior Vena Cava in Adult Woman Maligan, Deden Jinar Wahyudi; Maulana, Akhada; Danurdoro, Aria; Santosa, Hilda; Kumaladewi, Baiq Ratna
Indonesian Journal of Cancer Vol 19, No 4 (2025): December
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i4.1355

Abstract

Introduction: Adrenocortical carcinoma (ACC) is a malignant tumor that develops in the adrenal cortex. This case involves a rare, aggressive disease that demands specialized knowledge and optimal treatment for a favorable prognosis. This study aims to present the case of a woman with a right-sided ACC extending into the inferior vena cava (IVC), managed through radical resection and IVC repair.Case Presentation: A 50-year-old female presented with a complaint of a lump in the upper right abdomen, which she noticed three months ago. Abdominal computed tomography (CT) scan with contrast revealed a solid, inhomogeneous mass in the right suprarenal region measuring 12 cm x 11 cm. However, three days before the scheduled operation, the patient was brought to the emergency department with complaints of weakness and muscle weakness throughout the body. During the surgery, an adrenalectomy on the right side revealed a tumor infiltrating the IVC, causing venous rupture. The histological examination of the right adrenal tissue revealed ACC, infiltration of tumor cells beyond the capsule, lymphovascular infiltration, and no evidence of tumor cell infiltration into the kidney tissue. The treatment approach for this ACC case involved a complete surgical resection with open adrenalectomy and vena reconstruction. Postoperative results indicated improved patient condition, including symptom relief and favorable biochemical evaluation after surgery.Conclusion: Our patient had a right-sided ACC with local vascular infiltration into the IVC.
Co-Authors Akhada Maulana, Akhada Arsatt, Maz Isa Ansyori Bagus, Babad Danurdoro, Aria Fatkhullah, Faiz Karim Hidayat, Moulid I Gede Angga Adnyana Imam, Lalu Yogi Prasetio Karina Anindita Khairiyah, Dinur Kumaladewi, Baiq Ratna Lubis, Nayna Aulia Made Agus Suanjaya Made Ayu Mirah Wulandari Mahdaniyati, Aulia Maligan, Deden Jinar Wahyudi Mamang Bagiansah Maulidina, Selly Nidzarsyah, Muhammad Mirsa Nini, Cheryl Nining Handayani Perdana, Made Krisna Wahyu Perdana, Muhammad Astro Pramesti, Made Ardhia Santhi Prima Belia Fathana Putri, Adisti Prafica Putri, Kadek Dwi Gita Hapsary Dwija Putri, Wayan Julita Krisnanti Restuningdyah, Novia Andansari Putri Rina Lestari Sabariah Sabariah Setyobudi, Irwan Surasmaji, Lalu Irawan Syuhada, Irwan Wardiana, Maya Widiasari, Komang Sri Rahayu Yumna, Nadira