Mr F.P., a 33-y/o man consulted after 3 months of general status alteration with a loss of 7 kgs and nocturnal sweats. His blood pressure was controlled up to 190/110 mmHg. Clinical examination by general pratictioner was considered as normal. Bitherapy by calcium channel blockers and alpha blockers was given.
Few days later, hypertension was still severe between 160/100 and 200/120mmHg despite the bitherapy. Blood analysis revealed potassium at 3,1mmol/L. The patient was then hospitalized in a nephrological department. Plasma renin activity and aldosterone were elevated as shown on (Table 1). Clinical examination revealed a 8 cm mass in the left testicul, painless, of tissular consistency, without any inflammatory sign or adenopathy. Mr FP has noticed this mass for one year but this was rapidly growing within the last 2 months. Ultrasound and CT scan showed that the mass was depended on the left spermatic cord and associated with one nodule on liver, two juxta-hepatic, an osteolysis on the right hip and a mediastinal lymph node mass. The biopsy of the liver nodule revealed a leiomyosarcoma with high malignity staging.
Published on: Jan 10, 2015 Pages: 1-2