Kareti L R, Katlein S, Siew S, Blauvelt A
Department of Surgery, St. Lawrence Hospital, Lansing, Mich 48915.
Arch Pathol Lab Med. 1988 Nov;112(11):1163-5.
We report the first case of primary angiosarcoma of the adrenal gland, to our knowledge. A 54-year-old man presented with chronic left upper quadrant abdominal pain, and a left adrenal mass was subsequently found on computed tomography of the abdomen. The tumor was surgically removed and a diagnosis of adrenal angiosarcoma, supported by findings of immunoperoxidase and ultrastructural studies, was made. Seven months later, recurrent tumor resulted in an en bloc resection of lateral gastric wall, tail of pancreas, left kidney, and spleen. One year after the initial surgery, the patient was free of tumor. Angiosarcoma should be added to the list of possible primary adrenal gland malignancies.
据我们所知，我们报告了首例肾上腺原发性血管肉瘤。一名54岁男性因左上腹慢性疼痛就诊，随后腹部计算机断层扫描发现左肾上腺肿块。肿瘤经手术切除，免疫过氧化物酶和超微结构研究结果支持肾上腺血管肉瘤的诊断。七个月后，复发性肿瘤导致对胃外侧壁、胰尾、左肾和脾脏进行整块切除。初次手术后一年，患者无肿瘤。血管肉瘤应被列入可能的原发性肾上腺恶性肿瘤名单。
