A Case of Adrenal Angiosarcoma

Abstract

A 62-year-old male with slight fever, anorexia and easy fatigability was found to have a tumor in the left adrenal gland by computed tomogram of abdomen. Further study of angiogram suggesting neoplasm of the left adrenal gland, eventually he was underwent surgical extirpation. Histological study, combined with immunohistochemical staining, revealed that the tumor measuring 8 x 4 x 6 cm was an angiosarcoma. The patient died of pulmonary dysfunction 42 days after the operation. Autopsy was not done. In the literature, 7 cases of adrenal angiosarcoma have been reported; ours is the 8th case.

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A Vinyl Chloride-exposed Worker with an Adrenal Gland Angiosarcoma: A Case Report

“…Their irregular histological and immunological attributes as well as their relatively low incidence can cause pathologists to mistake them for adrenal epithelial neoplasms. In clinical practice these neoplasms should always be differentiated from other vascular neoplasms, pheochromocytoma, adrenal cortical carcinoma, metastatic adenocarcinoma, metastatic malignant melanoma and other metastatic tumors as well as from benign neoplasms such as adrenal adenomas with hemorrhage and epithelioidhemangioendothelioma 36 , 38 , 40 , 50 , 51 , 52 ) . The safest and easiest way to confirm or rule out this malignancy is by using immunohistochemistry.…”

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