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.
Etten
B
B
Department of Surgical Oncology Rotterdam The Netherlands.
van Ijken
M G
MG
Mooi
W J
WJ
Oudkerk
M
M
van Geel
A N
AN