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Case Reports
. 2016:2016:3768258.
doi: 10.1155/2016/3768258. Epub 2016 Dec 20.

A Case Report of Bilateral Adrenal Sarcomatoid Carcinoma

Ozlem Turhan Iyidir  1 , Ethem Turgay Cerit  1 , Çiğdem Özkan  1 , Eroğlu Altınova  1 , Ali Rıza Çimen  1 , Sinan Sözen  2 , Mustafa Kerem  3 , Müjde Aktürk  1 , Leyla Memiş  4 , Baloş Törüner  1 , Nuri Çakır  1 , Metin Arslan  1
Affiliations
Case Reports

A Case Report of Bilateral Adrenal Sarcomatoid Carcinoma

Ozlem Turhan Iyidir et al. Case Rep Surg. 2016.

Abstract

Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy. Sarcomatoid adrenal carcinoma is even more aggressive type of ACC. Bilateral malignant adrenal tumors are extremely rare except for those that represent metastasis from an extra-adrenal organ. Here we report a 53-year-old woman who presented with abdominal pain and weight loss. Abdominal computed tomography revealed bilateral adrenal masses and a mass in her liver. Surgical specimens showed pleomorphic tumor cells with epithelial and spindle cell morphology and immunohistochemical staining was compatible with sarcomatoid carcinoma. Sarcomatoid adrenal carcinoma should be kept in mind during the management of bilateral adrenal masses.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Computed tomography (CT) of abdomen; cystic masses replacing both adrenal glands and infiltrating liver can be seen (arrows).
Figure 2
Figure 2
Microscopic findings of the resected tumor. (a) Epithelioid cells display vesicular nucleus and mitosis (H&E ×40), (b) fascicles of spindle cells (H&E ×20).
See this image and copyright information in PMC

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