First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma
Joint Authors
Lu, Li
Mulani, Shaunak R.
Stoner, Patrick
Schlachterman, Alexander
Ghayee, Hans K.
Gupte, Anand R.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Primary adrenal leiomyosarcoma (PAL) is an extremely rare mesenchymal tumor with only a few isolated case reports in the medical literature.
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or endoscopic ultrasound-guided core biopsy (EUS-CB) is a safe, effective modality for sampling lesions in the gastrointestinal tract and adjacent organs, including the adrenal glands.
We describe the case of a 50-year-old male presenting with abdominal pain and unintentional weight loss over the course of one year.
CT imaging revealed an 8.1 cm heterogeneous left adrenal mass with PET-confirmed metastases to the liver and lung.
Pheochromocytoma was ruled out.
Adrenal cortical carcinoma was the other critical differential diagnosis.
As the patient was not a candidate for surgery, an EUS-FNA and CB were performed on this left adrenal mass revealing a spindle cell neoplasm with extensive necrosis confirming the diagnosis of primary leiomyosarcoma.
The patient was treated with chemotherapy with palliative radiation.
This case demonstrates the utility of EUS-FNA or CB as modalities that can aid in the diagnosis of adrenal lesions in specific circumstances.
American Psychological Association (APA)
Mulani, Shaunak R.& Stoner, Patrick& Schlachterman, Alexander& Ghayee, Hans K.& Lu, Li& Gupte, Anand R.. 2018. First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143636
Modern Language Association (MLA)
Mulani, Shaunak R.…[et al.]. First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1143636
American Medical Association (AMA)
Mulani, Shaunak R.& Stoner, Patrick& Schlachterman, Alexander& Ghayee, Hans K.& Lu, Li& Gupte, Anand R.. First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143636
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143636