Adrenocortical carcinoma physical examination

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Adrenocortical carcinoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Ahmad Al Maradni, M.D. [3]

Overview

Common physical examination findings of Adrenocortical carcinoma include hypertension, weakness, gynecomastia, and acne.

Physical Examination

Appearance of the patient

Vitals

Chest

  • Gynecomastia

Skin

  • Skin may be fragile and thin
  • Jaundice secondary to deranged liver function in case of metastasis to the liver.
  • Hyperpigmentation - this is due to Melanocyte-Stimulating Hormone production as a byproduct of ACTH synthesis from Proopiomelanocortin (POMC)
  • Telangiectasia (dilation of capillaries)
  • Thinning of the skin (which causes easy bruising)
  • Purple or red striae (the weight gain in Cushing's stretches the skin, which is thin and weakened, causing it to hemorrhage) on the trunk, buttocks, arms, legs or breasts, proximal muscle weakness (hips, shoulders)
  • Hirsutism (facial male-pattern hair growth)

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Extremities

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