World Journal of Surgical Oncology | |
Primary adrenal leiomyosarcoma with lymph node metastasis: a case report | |
Case | |
Noriyoshi Miura1  Nozomu Tanji1  Tomoya Onishi1  Toshio Kakuda1  Tadahiko Kikugawa1  Terutaka Noda1  Yutaka Yanagihara1  Riko Kitazawa2  | |
[1] Department of Urology, Ehime University Graduate School of Medicine, 454 Shitsukawa, 791-0295, Toon, Ehime, Japan;Division of Diagnostic Pathology, Ehime University Graduate School of Medicine, 454 Shitsukawa, 791-0295, Toon, Ehime, Japan; | |
关键词: Primary adrenal leiomyosarcoma; IVC reconstruction; Adrenalectomy; | |
DOI : 10.1186/s12957-016-0936-z | |
received in 2015-12-25, accepted in 2016-06-28, 发布年份 2016 | |
来源: Springer | |
【 摘 要 】
BackgroundLeiomyosarcomas typically originate in smooth muscle cell. Leiomyosarcoma potentially arising from the adrenal gland is an extremely rare mesenchymal tumors associated with delayed diagnosis and poor prognosis.Case presentationA 34-year-old man visited our department complaining of right hypochondriac pain. Computed tomography demonstrated a solid mass measuring 5.2 cm in diameter above the right kidney, corresponding to the right adrenal gland, and a lymph node mass, which appeared to have invaded the IVC wall. Right adrenalectomy and lymphadenectomy were performed. A microscopic examination revealed primary adrenal leiomyosarcoma with lymph node metastasis. No adjuvant therapy was performed, and the patient remains recurrence-free at 10 months postoperatively.ConclusionsWe experienced a very rare case of primary adrenal leiomyosarcoma.Aggressive surgical resection including vascular reconstruction may be associated with improved survival.
【 授权许可】
CC BY
© The Author(s). 2016
【 预 览 】
Files | Size | Format | View |
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RO202311107457707ZK.pdf | 2754KB | download |
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