Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Imaging Findings of Primary Adrenal Leiomyosarcoma: A Case Report

부신의 원발성 평활근육종의 영상 소견: 증례 보고

  • Hye Ran Yoon (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Dong Hee Park (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 윤혜란 (한국원자력의학원 원자력병원 영상의학과) ;
  • 박동희 (한국원자력의학원 원자력병원 영상의학과)
  • Received : 2019.07.16
  • Accepted : 2019.10.14
  • Published : 2020.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

Leiomyosarcoma is a malignant tumor that typically originates from either the uterus or the retroperitoneum. Furthermore, primary adrenal leiomyosarcoma is an extremely rare condition. Owing to its radiological non-specificity, differentiating leiomyosarcoma from other tumor types in the adrenal gland is difficult. We report the imaging findings of a primary adrenal leiomyosarcoma in a patient who presented with left upper quadrant abdominal pain, which increased by more than 1 cm in diameter in two years. Primary adrenal leiomyosarcoma was diagnosed considering the subsequent surgical and histopathologic findings.

평활근육종은 주로 자궁근육층, 후복막강에서 발생하는 악성질환으로 일차성으로 부신에서 발생하는 경우는 매우 드물다. 영상 소견이 비특이적이므로 부신에서 보일 수 있는 여러 종양과의 감별이 어렵다. 저자들은 좌상복부 통증을 주소로 촬영한 CT 상 좌측 부신 종괴가 발견되고, 2년 동안 1 cm 이상 크기가 증가하여 부신절제술을 받은 후 병리조직검사에서 평활근육종으로 진단된 증례를 영상 소견을 중심으로 보고하고자 한다.

Keywords

References

  1. Lee H, Yoo J, Kang SJ, Kim BK. Primary leiomyosarcoma of adrenal gland: a case report. Korean J Pathol 2002;36:191-194
  2. Lack EE, Graham CW, Azumi N, Bitterman P, Rusnock EJ, O'Brien W, et al. Primary leiomyosarcoma of adrenal gland. Case report with immunohistochemical and ultrastructural study. Am J Surg Pathol 1991;15:899-905 https://doi.org/10.1097/00000478-199109000-00011
  3. Zhou Y, Tang Y, Tang J, Deng F, Gong G, Dai Y. Primary adrenal leiomyosarcoma: a case report and review of literature. Int J Clin Exp Pathol 2015;8:4258-4263
  4. Levy AD, Manning MA, Al-Refaie WB, Miettinen MM. Soft-tissue sarcomas of the abdominal and pelvis: radiologic-pathologic features, part 1-common sarcomas: from the radiologic pathology archives. Radiographics 2017;37:462-483 https://doi.org/10.1148/rg.2017160157
  5. Boland GW, Blake MA, Hahn PF, Mayo-Smith WW. Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization. Radiology 2008;249:756-775 https://doi.org/10.1148/radiol.2493070976
  6. Hamrahian AH, Ioachimescu AG, Remer EM, Motta-Ramirez G, Bogabathina H, Levin HS, et al. Clinical utility of noncontrast computed tomography attenuation value (hounsfield units) to differentiate adrenal adenomas/hyperplasias from nonadenomas: Cleveland Clinic experience. J Clin Endocrinol Metab 2005;90:871-877 https://doi.org/10.1210/jc.2004-1627
  7. Haider MA, Ghai S, Jhaveri K, Lockwood G. Chemical shift MR imaging of hyperattenuating (>10 HU) adrenal masses: does it still have a role? Radiology 2004;231:711-716 https://doi.org/10.1148/radiol.2313030676
  8. Batawil N. Papillary thyroid cancer with bilateral adrenal metastases. Thyroid 2013;23:1651-1654 https://doi.org/10.1089/thy.2013.0065
  9. Shin YR, Kim KA. Imaging features of various adrenal neoplastic lesions on radiologic and nuclear medicine imaging. AJR Am J Roentgenol 2015;205:554-563 https://doi.org/10.2214/AJR.15.14467
  10. Lee JM, Kim MK, Ko SH, Koh JM, Kim BY, Kim SW, et al. Clinical guidelines for the management of adrenal incidentaloma. Endocrinol Metab 2017;32:200-218 https://doi.org/10.3803/EnM.2017.32.2.200