scholarly journals Primary adrenal sarcomatoid carcinoma

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Aftab S. Shaikh ◽  
Girish D. Bakhshi ◽  
Arshad S. Khan ◽  
Nilofar M. Jamadar ◽  
Aravind Kotresh Nirmala ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Adrenal Gland ◽  
Adrenal Mass ◽  
Sarcomatoid Carcinoma ◽  
Review Of Literature ◽  
Rare Tumors ◽  
Radiological Evidence ◽  
The Right

Adrenal sarcomatoid carcinomas are extremely rare tumors presenting with extensive locoregional spread at the time of diagnosis. Patients succumb to metastases within a couple of months. As a result, very few cases are reported in the literature until now. We present a case of a 62-year old female with non-functional sarcomatoid carcinoma of the right adrenal gland. There was no radiological evidence of locoregional metastases. Patient underwent right adrenalectomy. Follow up after 3 months showed para-aortic lymphadenopathy and similar left adrenal mass on computed tomography. Patient refused further treatment and succumbed to the disease. A brief case report with review of literature is presented.

scholarly journals Metastatic renal cell carcinoma of unknown primary site. Clinical follow-up

2020 ◽  
Vol 22 (3) ◽  
pp. 149-153
Author(s):  
N. A. Ognerubov ◽  
T. S. Antipova ◽  
G. E. Gumareva
Keyword(s):  
Computed Tomography ◽  
Renal Cell Carcinoma ◽  
Adrenal Gland ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Clear Cell ◽  
Cell Cancer ◽  
Primary Site ◽  
The Right

Renal cell cancer metastases without evidence of a primary tumor are extremely rare. These variants are usually showed as a spontaneous description of single clinical cases. Aim.This contribution is a clinical follow-up of synchronous renal cell cancer metastases of unknown primary site. Results.A 52-year-old patient U. with a history of increased blood pressure, up to 170/100 mmHg for the last 5 years, who had undergone many instrumental examinations, including ultrasound examination, because of this disease. The computed tomography of the abdomen showed a 4975 mm heterogeneous tumor in the right adrenal gland in October 2017. The combined positron emission and X-ray computed tomography showed a 795441 mm mass in the right adrenal gland, associated with elevated fluorodeoxyglucose metabolic activity SUVmax 7.25. Focal accumulation of the radiopharmaceutical SUVmax 4.31 in a 171124 mm mass was detected in the space of bifurcation in the mediastinum. The lytic lesion (1015 mm) was found in right superior L3 articular process. The patient underwent retroperitoneoscopic adrenalectomy and thoracoscopic removal of mediastinal tumor in November 2017 because of the oligometastatic nature of the process. The histological study identified clear-cell carcinoma with areas of papillary structure in the right adrenal gland. The immunohistochemical study showed carcinoma cells intensively expressing CD10, and some other cells RCC. The immune phenotype of the tumor was identified as clear-cell renal cell carcinoma. The immunohistological and immunohistochemical analysis reviled the metastases of the same variant of renal cell carcinoma in one of 9 lymph nodes. The patient was treated with pazopanib. The primary renal tumor was not detected during the dynamic observation, including the application of annual combined positron emission and X-ray computed tomography. The patient is alive without disease progression with a follow-up of 32 months. Conclusion.Metastases of clear-cell renal cell carcinoma, including adrenal gland, without evidence of a primary site are extremely rare. The main method of treatment is a combination of surgery and targeted therapy, providing long-term local control of the course of the disease.

Case 6.11

2014 ◽  
pp. 304-305
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Adrenal Gland ◽  
Signal Intensity ◽  
Adrenal Mass ◽  
Large Mass ◽  
Female Infant ◽  
Hepatic Parenchyma ◽  
The Right ◽  
T2 Weighted Images

1-month-old female infant with a renal or adrenal mass Axial fat-suppressed FSE T2-weighted images (Figure 6.11.1) reveal a large mass originating from the right adrenal gland with heterogeneously increased signal intensity. Extensive small hyperintense metastases essentially replace the visualized hepatic parenchyma. Axial fat-suppressed FSE images from the 6-week follow-up examination (...

scholarly journals Primary adrenocortical sarcomatoid carcinoma: Report of a case

2012 ◽  
Vol 6 (5) ◽  
Author(s):  
Jia-jun Yan ◽  
Ai-jing Sun ◽  
Yu Ren ◽  
Chuanlin Hou
Keyword(s):  
Adrenal Gland ◽  
Sarcomatoid Carcinoma ◽  
Final Diagnosis ◽  
Pathologic Examination ◽  
First Case ◽  
Complete Tumour ◽  
One Year ◽  
The One ◽  
The Right

We report the case of a 72-year-old man with a right adrenocortical mass who had undergone complete tumour excision with the adrenal gland and around adipose tissue. Pathologic examination led to a final diagnosis of primary sarcomatoid carcinoma of the right adrenal gland. The patient was without recurrence at the one year follow-up. To our knowledge, this is the first case in China and the second reported case in English published studies.

Mature Cystic Teratoma of Ovary– a Case Report & Review of Literature

2020 ◽  
Author(s):  
Sunita Nayak ◽  
Suren Prasad Dash
Keyword(s):  
Case Report ◽  
Germ Cell ◽  
Ovarian Neoplasms ◽  
Germ Cell Tumour ◽  
Cystic Teratoma ◽  
Good Prognosis ◽  
Mature Cystic Teratoma ◽  
Review Of Literature ◽  
The Right

Abstract Mature cystic teratoma or dermoid cyst is the most common germ cell tumour of the ovary. The incidence ranges from 5 to 25% of all ovarian neoplasms out of which 13.7% are bilateral. Teratomas usually occur in the ovaries but they may be seen in other sites known as extragonadal teratomas the incidence of which is only 0.4%. Teratomas are usually benign but they may turn out to be highly malignant. Torsion is known to be the most frequent complication of ovarian teratomas followed by autoamputation. Teratomas are classified as “Mature” and “Immature” by WHO. Teratomas show good prognosis specially the mature ones. Surgery and follow up remains the standard approach. We report a case of mature cystic teratoma in the right ovary of a 28 years old nulliparous woman.

scholarly journals  Penetrating cranial injury due to gunshot in a dog: a case report

2010 ◽  
Vol 55 (No. 5) ◽  
pp. 253-257 ◽  
Author(s):  
S. Park ◽  
J. Park ◽  
JM Kim ◽  
JH Kim ◽  
J. Son ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Traumatic Brain Injury ◽  
Case Report ◽  
Rare Case ◽  
Neurological Signs ◽  
Aggressive Surgical Approach ◽  
One Year ◽  
The Right ◽  
Cranial Injury

A ten-month old, male Black and Tan Coonhound dog was referred with ocular bleeding due to gunshot injury. His mental state was normal. A computed tomography revealed that the bullet was planted in the left cranium. It was presumed that the trajectory of the bullet penetrated from the right medial angle of the eye to the orbit, and changed its track to caudo-dorsal by penetrating the cranium, ending up at the left cranium. The bullet was removed by lateral rostrotentorial craniectomy. No complications were observed during a one-year follow-up except the blindness in the right eye. This is a rare case of gunshot-induced traumatic brain injury featuring a bullet which went through the orbit into the cranium. The damaged frontal lobe seemed to show no neurological signs at the time of first examination in this case. In conclusion, a less aggressive surgical approach is recommended to remove bullets when they are accessible.

Papillary Endothelial Hyperplasia of the Adrenal Gland: Report of a Case and Review of the Literature

2008 ◽  
Vol 74 (9) ◽  
pp. 813-816 ◽  
Author(s):  
Constantinos Constantinou ◽  
David Sheldon
Keyword(s):  
Computed Tomography ◽  
Adrenal Gland ◽  
Adrenal Mass ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Common Features ◽  
Papillary Endothelial Hyperplasia ◽  
Pathologic Analysis

Papillary endothelial hyperplasia (PEH) is a benign vascular proliferative process most frequently seen in the skin and integument, but may involve any of the visceral organs. It is a rare entity, with less than 30 cases of visceral PEH described in the literature. Adrenal papillary endothelial hyperplasia is an exceedingly rare process and is the basis of this review. A 66-year-old female was referred for evaluation of an asymptomatic 6 cm right adrenal mass. Computed tomography indicated that the lesion was solid and hypervascular. After appropriate workup, the patient underwent laparoscopic adrenalectomy. The pathologic analysis was consistent with adrenal PEH. The patient recovered without incident and is doing well at 1 year follow-up. A review of the world's literature on papillary endothelial hyperplasia (PEH), and in particular adrenal PEH, yields five previous reports of this entity, and no comprehensive review. A compilation of the now six patients with adrenal PEH reveals several common features: five of six patients were female and mean age was 64 years. The disease radiologically mimics adrenal cortical carcinoma mandating a surgical oncological technique. Pathologic differentiation from angiosarcoma can be a difficult task requiring evaluation by an experienced pathologist.

scholarly journals Extramedullary hematopoiesis in the adrenal: Case report and review of literature

2013 ◽  
Vol 7 (5-6) ◽  
pp. 436 ◽  
Author(s):  
John S. Banerji ◽  
Kumar Manoj Ramani ◽  
A. Devasia
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Lymph Nodes ◽  
Laparoscopic Adrenalectomy ◽  
Adrenal Mass ◽  
Extramedullary Hematopoiesis ◽  
Asymptomatic Individual ◽  
Review Of Literature ◽  
Extramedullary Haematopoiesis ◽  
History Of

Extramedullary haematopoiesis (EMH) is common in the spleen, liver and lymph nodes, or in para osseus sites. EMH in the adrenal is rare, with fewer than 10 cases reported. We report the case of a 40-year-old male who underwent laparoscopic adrenalectomy for an incidentally detected adrenal mass. The histology showed extramedullary hematopoesis. In patients with a known history of haemolytic anaemia, an enlarged adrenal gland in an asymptomatic individual could represent extramedullary haematopoesis. A confirmatory biopsy would be all that is necessary to avoid adrenalectomy.

scholarly journals Paraganglioma of the Renal Pelvis: A Case Report and Review of Literature

2017 ◽  
Vol 103 (1_suppl) ◽  
pp. S47-S49 ◽  
Author(s):  
Cheng Yi ◽  
Lin Han ◽  
Rui Yang ◽  
Junfeng Yu
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Neural Crest ◽  
Renal Pelvis ◽  
Neuroendocrine Neoplasm ◽  
Review Of Literature ◽  
Present Case Report ◽  
Head Neck

Purpose Paraganglioma, a kind of pheochromocytoma originating from embryonic neural crest, is a rare neuroendocrine neoplasm commonly located at extra-adrenal areas such as head, neck, and abdomen. There are a few reports on renal paragangliomas; fewer than 5 reported cases are renal pelvic paragangliomas, including our case. Methods Our patient, who had not experienced headache, hypertension, or palpitation, was founded to have a fixed mass in the left renal pelvis incidentally. Ultrasonography and computed tomography (CT) demonstrated a heterogeneous mass before surgery, and histopathologic test subsequently revealed that the infrequent mass was paraganglioma. Results During 6 months follow-up, ultrasonography and CT examinations showed no signs of recurrence or metastasis. Conclusions The present case report confirms surgery as the standard to treat patients with paraganglioma. We present this case to serve as a reminder of suspected paraganglioma when it has occurred in renal pelvis.

scholarly journals Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Harushi Ueno ◽  
Hideki Tsubouchi ◽  
Keita Nakanishi ◽  
Tomoshi Sugiyama ◽  
Yuka Kadomatsu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Transbronchial Biopsy ◽  
Massive Hemoptysis ◽  
Lobe Bronchus ◽  
Case Presentation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
The Right

Abstract Background Massive hemoptysis is a life-threatening complication after transbronchial biopsy (TBB). Reports on massive hemoptysis occurring several days after TBB are scarce. Case presentation A 62-year-old man presented with massive hemoptysis and was admitted to hospital as an emergency on the eighth day after TBB. On the 12th day after TBB, computed tomography showed complete atelectasis of the right middle and lower lobes. The patient underwent emergent right upper lobectomy. The right upper lobe bronchus was separated with a scalpel, the hematoma was pulled out with forceps, and the bronchus subsequently sutured shut. The patient was discharged from the hospital uneventfully. Conclusions We experienced a case of massive hemoptysis on the eighth day after TBB, which required emergency surgery due to persistent bleeding into the airway and airway obstruction during follow-up. Postoperative pneumonia and atelectasis could be prevented by manual removal of the residual hematoma.

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