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Organo Oficial de la Sociedad Mexicana de Urología

2007, Number 3

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Rev Mex Urol 2007; 67 (3)

Leiomiosarcoma adrenal primario. Presentación de un caso y revisión de la literatura

Camarena H, Cantellano M, Reyes M, Shuck C, Leos CA, Vázquez LS, Morales JG, Pacheco CG, Calderón F

Language: Spanish
References: 15
Page: 160-164
PDF size: 544.97 Kb.


ABSTRACT

Very few adrenal leimyosarcomas had been described in literature, and confirmed as primary tumors. We report a case of a 65 year-old woman, with systemic hypertension, and abdominal pain in the left flank, with diagnosis of adrenal mass confirmed by abdominal ultrasound, tomography and magnetic resonance. She was treated with open adrenalectomy. The pathologic report revealed a highly grade primary adrenal leimyosarcoma. This is very rare tumor, generally asymptomatic, and a radiological finding. Usually the final diagnosis is pathological. Since no treatment has been internationally accepted, we recommend total resection of the tumor and a strict follow up of the patients.


REFERENCES

  1. Angervall L, Kindblom LG. Principles for pathologicanatomic diagnosis and classification of soft-tissue sarcomas. Clin Orthop Relat Rest. 1993;289:9-18.

  2. Zetler PJ, Filipenko JD, Bilbey JH, Schmidt N. Primary adrenal leiomyosarcoma in a man with acquired immunodeficiency syndrome (AIDS). Arch Pathol Lab Med. 1996;120(9):797-8.

  3. Lack EE, Graham CE, Azumi N, Bitterman P, et al. Primary leiomyosarcoma of adrenal gland. Case report with immunohistochemical and ultrastructural study. Am J Surg Pathol. 1991;15(9)899-905.

  4. Oliveira AM, Nascimento AG. Grading in soft tissue tumors: principles and problems. Skeletal Radiol. 2001;30:543-59.

  5. Chablé FC, González MA, García MA, Onofre E. Leiomiosarcoma primario de la glándula suprarenal. Informe de un caso y revisión de la literatura. Patología. 2005;43(2):89-92.

  6. Boman F, Gultekin H, Dickman PS. Latent Epstein-Barr virus infection demonstrated in low-grade leiomyosarcomas of adults with acquired immunodeficiency syndrome, but not in adjacent Kaposi´s lesion or smooth muscle tumors in immunocompetent patients. Arch Pathol Lab Med. 1997;121(8):834-8.

  7. Balarezo FS, Joshi VV. Proliferative and neoplastic disorders in children with acquired immunodeficiency syndrome. Adv Anat Pathol. 2002;9(6): 360-70.

  8. Lujan MG, Hoang MP. Pleomorphic leiomyosarcoma of the adrenal gland. Arch Pathol Lab Med. 2003;127(1):32-5.

  9. Thamboo TP, Liew LC, Rahu GC. Adrenal leiomyosarcoma: a case report and literature review. Pathology. 2003;35(1):47-9.

  10. Choi SH, Liu K. Leiomyosarcoma of the adrenal gland and its angiographic features: a case report. J Surg Oncol. 1981;16(2):145-8.

  11. Fernández JM, Huéscar AM, Ablanedo P, Rabade CJ, Pérez García FJ, Rodríguez Martínez JJ, Escaf S. Primary leiomyosarcoma: A rare tumor of the adrenal gland. Arch Esp Urol. 1998;51(10):1029-31.

  12. Nakaishi M, Iseda T, Nishio S, et al. Spontaneous retroperitoneal hemorrhage from an adrenal leiomyisarcoma. Nishinihon. J Urol. 1999;61:466-7.

  13. Matsui Y, Fujikawa K, Oka H, Fukuzawa S, Takeuchi H. Adrenal leiomyosarcoma extending into right atrium. Int J Urol. 2002;9(1):54-6.

  14. Kato T, Kato T, Sakamoto S, Kobayashi T, Ikeda R, Nakamura T, Akakura K, Hikage T, Inoue T. Primary adrenal leiomyosarcoma with inferior vena cava thrombosis. Int J Clin Oncol. 2004;9(3):189-92.

  15. Cesari S, Avventi P, et al. A case of adrenal vein leiomyosarcoma: Role of percutaneous biopsy. Radiol Med. 1992;84(4):481-3.




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