Yashar David, Govindarajan Ameish, Samara Yazeed, Lee Jennifer
Harbor-UCLA Medical Center, Division of Internal Medicine, West Carson, CA.
Kern Medical Center, Division of Internal Medicine, Mount Vernon, CA.
ACG Case Rep J. 2022 May 4;9(5):e00764. doi: 10.14309/crj.0000000000000764. eCollection 2022 May.
Gastric leiomyosarcoma is a rare entity with only a handful of cases reported in the literature. Although this entity has been known to metastasize, there are currently no reported cases of metastatic leiomyosarcoma to the bilateral adrenal glands. We report a case of a 58-year-old woman with primary gastric leiomyosarcoma with bilateral metastasis to the adrenal gland. This case illustrates a presentation of gastric leiomyosarcoma with bilateral adrenal involvement, the challenges in its diagnosis, treatment, as well as a rare complication of primary adrenal insufficiency and adrenal crisis.
胃平滑肌肉瘤是一种罕见的疾病，文献中仅报道过少数病例。尽管已知该疾病会发生转移，但目前尚无双侧肾上腺转移的平滑肌肉瘤病例报告。我们报告一例58岁女性原发性胃平滑肌肉瘤伴双侧肾上腺转移的病例。该病例展示了胃平滑肌肉瘤伴双侧肾上腺受累的表现、诊断和治疗中的挑战，以及原发性肾上腺功能不全和肾上腺危象这种罕见的并发症。
