A rare coexistence of adrenal cavernous hemangioma with extramedullar hemopoietic tissue: a case report and brief review
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Case report
A rare coexistence of adrenal cavernous hemangioma with extramedullar hemopoietic tissue: a case report and brief review of the literature Nikolaos Arkadopoulos1, Maria Kyriazi1, Anneza I Yiallourou*1, Vaia K Stafyla1, Theodosios Theodosopoulos1, Nikolaos Dafnios1, Vassilis Smyrniotis1 and Agathi Kondi-Pafiti2 Address: 12nd Department of Surgery, Aretaieion Hospital, Athens University School of Medicine, Athens, Greece and 2Department of Pathology, Aretaieion Hospital, Athens University School of Medicine, Athens, Greece Email: Nikolaos Arkadopoulos - [email protected]; Maria Kyriazi - [email protected]; Anneza I Yiallourou* - [email protected]; Vaia K Stafyla - [email protected]; Theodosios Theodosopoulos - [email protected]; Nikolaos Dafnios - [email protected]; Vassilis Smyrniotis - [email protected]; Agathi Kondi-Pafiti - [email protected] * Corresponding author
Published: 5 February 2009 World Journal of Surgical Oncology 2009, 7:13
doi:10.1186/1477-7819-7-13
Received: 8 November 2008 Accepted: 5 February 2009
This article is available from: http://www.wjso.com/content/7/1/13 © 2009 Arkadopoulos et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Cavernous hemangiomas of the adrenal gland are rare, benign, non-functioning neoplastic tumors. To our knowledge, 55 cases have been reported in the literature to date. Case presentation: We report the first case of a large, non-functioning adrenal cavernous hemangioma that was incidentally found during the preoperative staging workup of a 75 year old woman with left breast adenocarcinoma. Imaging with US, CT scan and MRI showed a heterogeneous 8 cm mass with non-specific radiological features that was located on the left adrenal gland. The mass was surgically excised and pathology revealed an adrenal hemangioma with areas of extramedullar hemopoiesis. Conclusion: Although adrenal hemangiomas are rare and their preoperative diagnosis is difficult, they should always be included in the differential diagnosis of adrenal neoplasms.
Background Adrenals are an infrequent location for benign vascular tumors like cavernous hemangiomas-such tumors are most commonly situated on the skin or in the liver. Their clinical presentation is usually vague, with non-specific abdominal pain being the predominant symptom. Frequently, they are discovered as incidentalomas either during imaging or in autopsies. Since 1955, when Johnson and Jeppesen described the first adrenal cavernous hemangioma, only 55 cases have been reported in the literature [1]. We report a case of a large, non-functioning
adrenal hemangioma that was found incidentally during pre-operative staging of a 75 year old woman with adenocarcinoma of the left breast.
Case presentation A 75 year old
