Question 262 · LEK · Adrenal cancer

A 34-year-old female patient who has been treated for paroxysmal hypertension for three years came to see a doctor at an outpatient clinic. She complains of polydipsia, profuse sweating and heart palpitations. Laboratory tests showed considerably increased blood catecholamines, and double-phase abdominal CT scan showed a 3 cm tumour in the left adrenal gland. Indicate appropriate treatment:

  1. A. resection of adrenal gland with the tumour.
  2. B. fine-needle aspiration biopsy of the tumour.
  3. C. abdominal magnetic resonance (MRI).
  4. D. tumour resection with adrenal gland preservation.
  5. E. bilateral adrenalectomy.
Hint

Paroxysmal hypertension, sweating and palpitations with high catecholamines identify the tumour; recall the standard operation for a unilateral lesion.

The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.

Create a free account Log in

More questions on Oncology