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CC BY-NC-ND 4.0 · World J Nucl Med 2018; 17(01): 62-64
DOI: 10.4103/wjnm.WJNM_8_17
Case report

Alveolar soft part sarcoma presenting as hypervascular adrenal metastasis

Manjunath Goroshi
Department of Endocrinology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra
,
Anurag Lila
Department of Endocrinology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra
,
Tushar Bandgar
Department of Endocrinology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra
,
Nalini Shah
Department of Endocrinology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra
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Hypervascular adrenal masses include pheochromocytoma, metastases caused by clear renal cell carcinoma/hepatocellular carcinoma. Alveolar soft part sarcoma (ASPS) causing hypervascular metastases is not described in the literature. Here, we describe the first case of ASPS presenting as hypervascular metastasis. Our case was a 23-year-old male incidentally detected right adrenal mass during the evaluation of pain in the abdomen. On computed tomography (CT), adrenal mass showed bright enhancement in early arterial phase (unenhanced Hounsfield unit [HU]-45.3; arterial phase HU-158.2). 18- flurodeoxyglucose positron emission tomography/CT showed multiple lesions and was confirmed histologically to be due to ASPS.

Keywords

Adrenal contrast-enhanced computed tomography - hypervascular metastasis - soft tissue sarcoma - washout


Publication History

Article published online:
17 May 2022

© 2018. Sociedade Brasileira de Neurocirurgia. 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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