title: Angiosarcoma of the Adrenal Gland Treated Using a Multimodal Approach.
abstract: Angiosarcoma of the adrenal gland is an extremely rare malignancy. We report a case of a 59-year-old female who presented with abdominal pain and profound anemia. A 7 cm enhancing, lipid-poor adrenal mass with calcifications that extended posterior to the vena cava was identified on imaging. Patient underwent right adrenalectomy with retroperitoneal lymph node dissection. Pathology demonstrated angiosarcoma of the adrenal gland. Consolidative treatment included adjuvant radiation and chemotherapy. Patient remains disease free 1.5 years following treatment. Prior reported literature on the diagnosis and management of adrenal angiosarcoma is reviewed.
authors.affiliation: Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Jay G
authors.initials: JG
authors.lastname: Fuletra
authors.affiliation: Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Benjamin T
authors.initials: BT
authors.lastname: Ristau
authors.affiliation: Department of Radiology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Barton
authors.initials: B
authors.lastname: Milestone
authors.affiliation: Department of Pathology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Harry S
authors.initials: HS
authors.lastname: Cooper
authors.affiliation: Department of Pathology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Alysia
authors.initials: A
authors.lastname: Browne
authors.affiliation: Department of Medical Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Sujana
authors.initials: S
authors.lastname: Movva
authors.affiliation: Department of Radiation Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Galloway
authors.affiliation: Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Randall
authors.initials: R
authors.lastname: Lee
authors.affiliation: Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Waingankar
authors.affiliation: Division of Urologic Oncology, Fox Chase Cancer Center-Temple University Health System, Philadelphia, PA, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Kutikov
keywords: Adjuvant chemotherapy; Adjuvant radiation; Adrenal cancer; Angiosarcoma