Cancan Gülden, Teksöz Serkan, Demiryas Süleyman, Özcan Murat, Bükey Yusuf
Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.
Turk J Surg. 2018 Jan 3;34(2):146-148. doi: 10.5152/turkjsurg.2017.3141. eCollection 2018.
Adrenal angiosarcoma is an uncommon neoplasm that derives from the vascular endothelium; due to its biological behavior, it should be distinguished from other adrenal tumors. We herein report a case of a 57-year-old woman with diagnosis of an adrenal tumor that was suspected to be malignant. The specimen was histopathologically proved to be an angiosarcoma. The patient was suffering from right upper quadrant pain; after laboratory and radiological workup, a non-functioning right adrenal mass, 14 cm in size, was recognized. A right subcostal incision was made, and adrenalectomy was performed successfully with tumor-free surgical margins. Two months after the operation, a positron emission tomography-computed tomography scan was ordered for follow-up. No tumor tissue or any other metastatic foci remained. The patient had been referred to our medical oncology department and underwent retroperitoneal radiotherapy. However, unfortunately, the patient died due to cardiac insufficiency during the follow-up period.
肾上腺血管肉瘤是一种罕见的起源于血管内皮的肿瘤；鉴于其生物学行为，应与其他肾上腺肿瘤相鉴别。我们在此报告一例57岁女性，诊断为肾上腺肿瘤，怀疑为恶性。标本经组织病理学证实为血管肉瘤。患者右上腹疼痛；经实验室和影像学检查后，发现一个大小为14厘米的无功能右肾上腺肿块。做了右肋下切口，成功进行了肾上腺切除术，手术切缘无肿瘤。术后两个月，进行了正电子发射断层扫描-计算机断层扫描以进行随访。未发现肿瘤组织或任何其他转移灶。患者被转诊至我们的医学肿瘤科并接受了腹膜后放疗。然而，不幸的是，患者在随访期间因心功能不全死亡。
