title: Primary adrenal leiomyosarcoma with inferior vena cava thrombosis.
abstract: We report a primary adrenal leiomyosarcoma in a 59-year-old man. Computed tomography demonstrated a poorly enhanced mass, measuring 10 cm, between the left kidney and the normal left adrenal gland, with tumor thrombus in the inferior vena cava (IVC). The patient underwent left radical nephroadrenalectomy with IVC thrombectomy. The histological diagnosis was adrenal leiomyosarcoma. Adrenal leiomyosarcomas are extremely rare. Only seven cases have been reported previously in the English-language literature.
authors.affiliation: The Department of Urology, Tokyo Kosei Nenkin Hospital, 5-1 Tsukudo-cho, Shinjuku-ku, Tokyo 162-8543, Japan. jpn3899@tokyo.interq.or.jp
authors.forename: Tomonori
authors.initials: T
authors.lastname: Kato
authors.forename: Tomonori
authors.initials: T
authors.lastname: Kato
authors.forename: Shinichi
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Ikeda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakamura
authors.forename: Koichiro
authors.initials: K
authors.lastname: Akakura
authors.forename: Takashi
authors.initials: T
authors.lastname: Hikage
authors.forename: Tohru
authors.initials: T
authors.lastname: Inoue
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D014682:Vena Cava, Inferior / Q000473:pathology*