CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(04): 559-562
DOI: 10.4103/ijmpo.ijmpo_270_19
Grand Round

Primary Adrenal Leiomyosarcoma: An Extremely Rare Mesenchymal Tumor

D Lokanatha
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Linu Abraham Jacob
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
MC Suresh Babu
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
KN Lokesh
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Ram Krishna Sai
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
AH Rudresha
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
LK Rajeev
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Smitha Saldanha
Departments of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
MN Suma
Departments of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
A Usha
Departments of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
› Author Affiliations
Financial support and sponsorship Nil.

Introduction

Leiomyosarcoma is a soft-tissue neoplasm of smooth muscle origin. Primarily, it occurs in the myometrium, retroperitoneum, or dermis of the extremities; primary leiomyosarcoma of the adrenal gland is very rare. Till date, only 30 patients have been reported. Here, we report another case of primary adrenal leiomyosarcoma and review of the clinical and pathological characteristics.



Publication History

Received: 25 December 2019

Accepted: 06 January 2020

Article published online:
03 June 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Choi SH, Liu K. Leiomyosarcoma of the adrenal gland and its angiographic features: A case report. J Surg Oncol 1981; 16: 145-8
  • 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
  • 3 Zetler PJ, Filipenko JD, Bilbey JH, Schmidt N. Primary adrenal leiomyosarcoma in a man with acquired immunodeficiency syndrome (AIDS). Further evidence for an increase in smooth muscle tumors related to epstein-barr infection in AIDS. Arch Pathol Lab Med 1995; 119: 1164-7
  • 4 Boman F, Gultekin H, Dickman PS. Latent epstein-barr virus infection demonstrated in low-grade leiomyosarcomas of adults with acquired immunodeficiency syndrome, but not in adjacent Kaposi’s lesion or smooth muscle tumors in immunocompetent patients. Arch Pathol Lab Med 1997; 121: 834-8
  • 5 Etten B, van Ijken MG, Mooi WJ, Oudkerk M, van Geel AN. Primary leiomyosarcoma of the adrenal gland. Sarcoma 2001; 5: 95-9
  • 6 Matsui Y, Fujikawa K, Oka H, Fukuzawa S, Takeuchi H. Adrenal leiomyosarcoma extending into the right atrium. Int J Urol 2002; 9: 54-6
  • 7 Lujan MG, Hoang MP. Pleomorphic leiomyosarcoma of the adrenal gland. Arch Pathol Lab Med 2003; 127: e32-5
  • 8 Thamboo TP, Liew LC, Raju GC. Adrenal leiomyosarcoma: A case report and literature review. Pathology 2003; 35: 47-9
  • 9 Linos D, Kiriakopoulos AC, Tsakayannis DE, Theodoridou M, Chrousos G. Laparoscopic excision of bilateral primary adrenal leiomyosarcomas in a 14-year-old girl with acquired immunodeficiency syndrome (AIDS). Surgery 2004; 136: 1098-100
  • 10 Kato T, Kato T, Sakamoto S, Kobayashi T, Ikeda R, Nakamura T. et al. Primary adrenal leiomyosarcoma with inferior vena cava thrombosis. Int J Clin Oncol 2004; 9: 189-92
  • 11 Wong C, Von Oppell UO, Scott-Coombes D. Cold feet from adrenal leiomyosarcoma. J R Soc Med 2005; 98: 418-20
  • 12 Candanedo-González FA, Vela Chávez T, Cérbulo-Vázquez A. Pleomorphic leiomyosarcoma of the adrenal gland with osteoclast- like giant cells. Endocr Pathol 2005; 16: 75-81
  • 13 Lee CW, Tsang YM, Liu KL. Primary adrenal leiomyosarcoma. Abdom Imaging 2006; 31: 123-4
  • 14 Mohanty SK, Balani JP, Parwani AV. Pleomorphic leiomyosarcoma of the adrenal gland: Case report and review of the literature. Urology 2007; 70: 591.e5-7
  • 15 Wang TS, Ocal IT, Salem RR, Elefteriades J, Sosa JA. Leiomyosarcoma of the adrenal vein: A novel approach to surgical resection. World J Surg Oncol 2007; 5: 109
  • 16 Goto J, Otsuka F, Kodera R, Miyoshi T, Kinomura M, Otani H. et al. A rare tumor in the adrenal region: Neuron-specific enolase (NSE)-producing leiomyosarcoma in an elderly hypertensive patient. Endocr J 2008; 55: 175-81
  • 17 Mencoboni M, Bergaglio M, Truini M, Varaldo M. Primary adrenal leiomyosarcoma: A case report and literature review. Clin Med Oncol 2008; 2: 353-6
  • 18 Van Laarhoven HW, Vinken M, Mus R, Flucke U, Oyen WJ, Van der Graaf WT. The diagnostic hurdle of an elderly male with bone pain: How 18F-FDG-PET led to diagnosis of a leiomyosarcoma of the adrenal gland. Anticancer Res 2009; 29: 469-72
  • 19 Hamada S, Ito K, Tobe M, Otsuki H, Hama Y, Kato Y. et al. Bilateral adrenal leiomyosarcoma treated with multiple local therapies. Int J Clin Oncol 2009; 14: 356-60
  • 20 Karaosmanoglu AD, Gee MS. Sonographic findings of an adrenal leiomyosarcoma. J Ultrasound Med 2010; 29: 1369-73
  • 21 Shao IH, Lee WC, Chen TD, Chiang YJ. Leiomyosarcoma of the adrenal vein. Chang Gung Med J 2012; 35: 428-31
  • 22 Kanthan R, Senger JL, Kanthan S. Three uncommon adrenal incidentalomas: A 13-year surgical pathology review. World J Surg Oncol 2012; 10: 64
  • 23 Deshmukh SD, Babanagare SV, Anand M, Pande DP, Yavalkar P. Primary adrenal leiomyosarcoma: A case report with immunohistochemical study and review of literature. J Cancer Res Ther 2013; 9: 114-6
  • 24 Gulpinar MT, Yildirim A, Gucluer B, Atis RG, Canakci C, Gurbuz C. et al. Primary leiomyosarcoma of the adrenal gland: A case report with immunohistochemical study and literature review. Case Rep Urol 2014; 2014: 489630
  • 25 Oztürk H. Vena Cava ınvasion by adrenal leiomyosarcoma. Rare Tumors 2014; 6: 5275
  • 26 Lee S, Tanawit GD, Lopez RA, Zamuco JT, Cheng BG, Siozon MV. Primary leiomyosarcoma of adrenal gland with tissue eosinophilic infiltration. Korean J Pathol 2014; 48: 423-5
  • 27 Bhalla A, Sandhu F, Sieber S. Primary adrenal leiomyosarcoma: A case report and review of the literature. Conn Med 2014; 78: 403-7
  • 28 Wei J, Sun A, Tao J, Wang C, Liu F. Primary adrenal leiomyosarcoma: Case report and review of the literature. Int J Surg Pathol 2014; 22: 722-6