[Retroperitoneal leiomyosarcoma. A rare differential diagnosis of an adrenal tumor].
A pararenal mass is a clinical finding that cannot be explored preoperatively regarding its parent organ even nowadays. We report in the following about a patient who was admitted with dull pain located in the flank and upper abdomen. Ultrasound investigation at admission showed a solid homogeneous mass close to the upper pole of the left kidney. Urinalysis and catecholamine levels were normal. Intraoperatively, a sarcoma infiltrating the renal capsule and renal vein was observed. In the case of a mass located in the area of the adrenal gland, an extra-adrenal tumor must be considered especially if there are normal findings for urinalysis and catecholamine levels even if modern imaging techniques had been applied.
Hodzic
J
J
Urologische Klinik, Marien-Hospital, Marl. dr.j.hodzic@katholische-kliniken.de
Golka
K
K
Möhring
K
K
Riedasch
G
G
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery; D007890:Leiomyosarcoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases / Q000175:diagnosis / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis* / Q000601:surgery