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Inflammatory myofibroblastic tumour arising in the adrenal gland: a case report
My-Anh Tran-Dang, Neal Banga, Bernard Khoo
1Department of Cellular Pathology, Royal Free Hospital, London NW3 2QG, UK. alan.bates@nhs.net.
Introduction:
Inflammatory myofibroblastic tumour arising in the adrenal gland is exceptional. As far as we are aware, there have been only three previous reports in the literature. We report a fourth case.
Case Presentation:
A 29-year-old Caucasian man presented with upper quadrant pain due to a 15cm heterogenous adrenal mass that displaced his liver. He underwent an open right adrenalectomy. Histopathological examination showed the mass to be an inflammatory myofibroblastic tumour, a histologically distinctive lesion composed of myofibroblasts, plasma cells, lymphocytes and histiocytes. Ten months later he is well with no sign of recurrence.
Conclusions:
The lesion was indistinguishable on imaging from an adrenal cortical tumour. Surgical treatment is the same but inflammatory myofibroblastic tumour carries a favourable prognosis.
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