title: [Primary adrenal leiomyosarcoma: a case report].
abstract: A 78-year-old female complained high fever and vomiting. The ultrasonographic examination revealed a giant tumor above the left kidney. She was referred to our hospital for further examinations and treatments. Radiographic examination showed a solid mass of 10 cm in diameter, smooth surface, and sharply-delimited, above the left kidney corresponding to the left adrenal gland. Other organs showed no evidence of disease. Hormonal examination was normal. She was diagnosed as left non-functioning adrenal tumor, and underwent surgery. The resected specimen was 11 x 10 x 7 cm, 460 g with a part of normal adrenal tissue on the surface. Histopathological examination revealed it as leiomyosarcoma. She has no evidence of disease twenty months after the operation. Primary adrenal leiomyosarcoma is extremely rare. To the best of our knowledge, there were only 22 reported cases including ours in the English and Japanese literature.
authors.affiliation: Department of Urology, Wakayama Medical University.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Nanpo
authors.forename: Tomomi
authors.initials: T
authors.lastname: Kuramoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Mori
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nishizaw
authors.forename: Akinori
authors.initials: A
authors.lastname: Iba
authors.forename: Reona
authors.initials: R
authors.lastname: Fujii
authors.forename: Nagahide
authors.initials: N
authors.lastname: Matsumura
authors.forename: Yasuyo
authors.initials: Y
authors.lastname: Shintani
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kohjimoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Inagaki
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamagiwa
authors.forename: Isao
authors.initials: I
authors.lastname: Hara
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D000368:Aged; D003952:Diagnostic Imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome