Primary leiomyosarcoma of the adrenal gland.
We report a rare case of a primary leiomyosarcoma of the adrenal gland. A 73-year-old woman presented with an inferior vena cava syndrome. MR imaging was suggestive of a large tumour originating from the right adrenal gland. Angiography revealed a tumour vascularised by the right adrenal artery. At explorative laparotomy a tumour of 27 cm in diameter was found which was completely fixed to the liver; the tumour was therefore considered unresectable. As a consequence of the mechanical problems caused by this large tumour, the patient died 3 weeks after the operation. Autopsy revealed no distant metastases or other primary tumour site.
Department of Surgical Oncology Rotterdam The Netherlands.
B
B
Etten
M G
MG
van Ijken
W J
WJ
Mooi
M
M
Oudkerk
A N
AN
van Geel