Key result
Right adrenal leiomyosarcoma is a rare, aggressive tumor that can invade the inferior vena cava and extend directly into the right atrium.
Highlights a rare case of primary soft tissue sarcoma of the adrenal gland invading the vena caval wall and extending into the right atrium.
May prompt consideration of adrenal leiomyosarcoma in right atrial masses with IVC extension; extends sparse case reports but leaves management open.
Primary soft tissue sarcoma of the adrenal gland is very rare and aggressive. In right adrenal tumors, because of direct venous drainage into inferior vena cava, the tumor may invade the vena caval wall toward the right atrium. We present a case of adrenal leiomyosarcoma extending into the right atrium.
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Matsui et al. (2002) studied this question. Right adrenal leiomyosarcoma is a rare, aggressive tumor that can invade the inferior vena cava and extend directly into the right atrium.
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