title: Large adrenal leiomyoma presented as adrenal incidentaloma in an AIDS patient: A rare entity.
abstract: The literature on adrenal gland tumour in HIV-infected patients is scarce. We report a 46-year-old Malay man with HIV and Hepatitis C infection presenting with a large nonfunctioning adrenal tumour. Computed tomography showed a large right adrenal tumour with heterogeneous enhancement and central necrosis. A high index of suspicion of a malignant tumour or pheochromocytoma led us to surgical removal of the adrenal gland. In this case report, we highlight important features to look for during pre-op evaluation of a large adrenal mass. Appropriate action should be taken when there is a suspicion of a pheochromocytoma or malignancy.
authors.affiliation: Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia. huei_87@hotmail.com.
authors.forename: T J
authors.initials: TJ
authors.lastname: Huei
authors.affiliation: Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia.
authors.forename: H T
authors.initials: HT
authors.lastname: Lip
authors.affiliation: Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia.
authors.forename: M S
authors.initials: MS
authors.lastname: Rahman
authors.affiliation: Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Sarojah
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D000311:Adrenal Glands / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed