Adrenal Carcinoma Blood Test

What is Adrenal Carcinoma?

Adrenal carcinoma is a rare and aggressive cancer that develops in the adrenal glands located above each kidney. It is caused by malignant cell growth that often produces excess hormones like cortisol and aldosterone. The Cortisol, Total test is the most important test for detecting hormone overproduction associated with adrenal carcinoma.

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What causes adrenal carcinoma?

Adrenal carcinoma is caused by malignant cell growth in the adrenal cortex, the outer layer of the adrenal glands. The exact trigger for this cancerous transformation remains unclear, but genetic mutations and rare hereditary conditions like Li-Fraumeni syndrome and Beckwith-Wiedemann syndrome increase risk. Many adrenal carcinomas are functioning tumors that produce excessive amounts of hormones such as cortisol, aldosterone, or sex hormones, leading to serious health complications throughout the body.

What is the best test for adrenal carcinoma?

The Cortisol, Total test is the most important blood test for adrenal carcinoma because it detects excessive cortisol production, which occurs in many hormone-secreting adrenal tumors. Elevated cortisol levels can indicate a functioning adrenal carcinoma and help assess the severity of hormonal imbalance. The Aldosterone/Plasma Renin Activity Ratio test is also essential for detecting aldosterone-producing tumors, as it uses advanced LC/MS/MS technology to identify abnormal hormone levels with high precision. While blood tests alone cannot diagnose adrenal carcinoma, they are critical for detecting hormone overproduction that characterizes many of these aggressive tumors and for monitoring treatment response.

When should I get tested for adrenal carcinoma?

You should get tested if you experience symptoms of hormone overproduction such as rapid weight gain, particularly around the midsection and face, muscle weakness, unexplained high blood pressure, or unusual body changes like purple stretch marks. Get tested immediately if you notice sudden onset of facial hair growth in women, irregular periods, deepening voice, or symptoms of Cushing's syndrome like a rounded face and buffalo hump. Early detection of hormonal imbalances through blood testing can help identify adrenal tumors before they progress and cause severe complications.

What are the symptoms of adrenal carcinoma?
Symptoms of adrenal carcinoma vary depending on whether the tumor produces hormones. Hormone-producing tumors cause rapid weight gain, rounded face, high blood pressure, easy bruising, muscle weakness, and purple stretch marks. Women may experience excessive facial hair, deepening voice, and irregular periods, while men may notice breast enlargement. Non-functioning tumors often cause abdominal or back pain, feeling of fullness, and a noticeable abdominal mass. Many people also experience unexplained weight loss, fever, and general fatigue as the cancer progresses.
Who is at risk for adrenal carcinoma?
Adrenal carcinoma is extremely rare and can affect anyone, but certain factors increase risk. People with hereditary conditions like Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome, Multiple Endocrine Neoplasia type 1, or familial adenomatous polyposis have higher risk. The cancer occurs more frequently in children under 5 years old and adults between 40-50 years old. Women are slightly more likely to develop adrenal carcinoma than men. Having a family history of adrenal disorders or certain genetic mutations also increases susceptibility to this aggressive cancer.
What happens if adrenal carcinoma is left untreated?
Untreated adrenal carcinoma progresses rapidly and can be life-threatening. Hormone-producing tumors cause severe complications including uncontrolled high blood pressure, diabetes, severe osteoporosis with bone fractures, and dangerous electrolyte imbalances. The cancer spreads aggressively to the liver, lungs, bones, and lymph nodes, causing organ failure. Excess cortisol weakens the immune system, making you vulnerable to serious infections. The tumor itself can grow large enough to cause severe pain and compress nearby organs. Without treatment, adrenal carcinoma has a poor prognosis, making early detection through blood testing and imaging crucial for survival.
Can adrenal carcinoma be diagnosed with a blood test?
Blood tests alone cannot definitively diagnose adrenal carcinoma, but they play a fundamental role in detection and assessment. Blood tests measuring cortisol, aldosterone, DHEA-S, and other adrenal hormones can identify hormone overproduction, which is a hallmark of many adrenal carcinomas. Elevated hormone levels prompt further investigation with imaging studies like CT or MRI scans to visualize the tumor. The definitive diagnosis requires tissue biopsy, but blood testing is essential for initial screening, assessing tumor activity, guiding treatment decisions, and monitoring for recurrence after treatment.
How is adrenal carcinoma treated?
Treatment for adrenal carcinoma depends on the stage and whether the cancer has spread. Surgical removal of the tumor and affected adrenal gland is the primary treatment and offers the best chance for cure when the cancer is localized. Advanced cases require chemotherapy, typically with mitotane, which specifically targets adrenal cancer cells. Radiation therapy may be used to control tumors that cannot be surgically removed or to treat areas where cancer has spread. Medications to block hormone production help manage symptoms from functioning tumors. Regular blood testing monitors hormone levels and treatment effectiveness throughout the treatment process.
How can I prevent adrenal carcinoma?
There is no proven way to prevent adrenal carcinoma because the exact causes are not fully understood. However, people with hereditary conditions that increase risk should undergo regular monitoring and genetic counseling. If you have a family history of adrenal disorders or genetic syndromes associated with adrenal cancer, discuss screening options with your healthcare provider. Early detection through regular blood testing for hormone levels and imaging studies can catch tumors when they are smaller and more treatable. Maintaining overall health through a balanced diet, regular exercise, and avoiding unnecessary hormone supplements supports adrenal gland function.
What can I do at home for adrenal carcinoma?
While adrenal carcinoma requires medical treatment, you can support your body at home by managing symptoms and side effects. If you have excess cortisol, reduce salt intake to help control blood pressure and fluid retention. Eat a diet rich in calcium and vitamin D to protect bone health, as high cortisol weakens bones. Regular gentle exercise helps maintain muscle strength and manage weight gain from hormone imbalances. Track your symptoms, including blood pressure and weight changes, to share with your healthcare team. Stress management techniques like meditation and adequate sleep support overall hormonal balance. Always follow your treatment plan and attend all follow-up appointments for blood work monitoring.
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If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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