Adrenal Gland Hemangiosarcoma in a Patient with Chronic Myeloid Leukaemia

Hemangiosarcomas are rare tumours, predominantly affecting adult and elderly patients. Most frequently they involve the skin, although they can occur in visceral organs and other tissues. Hemangiosarcomas pursue an aggressive clinical course with high mortality rates. Primary adrenal hemangiosarcoma is extremely rare. We report a case of a 64-year-old male patient. He underwent ultrasound and computed tomography scan because of pain in his left lumbar area present over the previous 2 months. Tumor mass of the adrenal gland was found and he underwent left adrenalectomy. Macroscopically, cystic tumor that measured up to 9 cm in diameter was found. Histological diagnosis was hemangiosarcoma. The patient was being treated for chronic myeloid leukaemia for 7 years. During the time the adrenal tumor was diagnosed, he had been in remission. He died one and a half months after tumor resection because of profound bleeding in postoperative area. To our knowledge, this is the first case of a primary adrenal gland hemangiosarcoma in a patient treated for chronic myeloid leukaemia.