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Adrenal angiosarcoma: report of a case.
Enricomaria Pasqual1, Franco Bertolissi, Franco Grimaldi
1Department of Surgical Sciences, University of Udine, Italy.
Surgery Today
|July 11, 2002
Summary
Adrenal epithelioid angiosarcoma, a rare and aggressive tumor, can be treated with adrenalectomy. This case shows a patient achieving long-term survival after surgical removal of the adrenal mass.
Area of Science:
- Oncology
- Endocrinology
Background:
- Adrenal epithelioid angiosarcoma is an exceptionally rare and aggressive neoplasm.
- While typically aggressive, prolonged survival is occasionally reported following surgical resection.
Observation:
- A 70-year-old female presented with flank pain and imaging revealed a 5-cm right adrenal mass and a 2-cm liver mass.
- Radiological evaluation suspected malignancy for both masses; however, no adrenal hypersecretion was detected.
Findings:
- Histopathological examination confirmed adrenal angiosarcoma of the adrenal mass.
- Surgical resection achieved tumor-free margins and no lymph node involvement. The liver mass was identified as a cistobiliary adenoma.
Implications:
- Extensive surgical procedures are crucial for curative treatment of this rare adrenal tumor.
- The absence of distant metastases precluded the need for adjuvant chemotherapy, highlighting the importance of thorough staging.