Key result
CT-guided biopsy successfully diagnoses primary adrenal leiomyosarcoma with IVC extension.
Why the study?
Primary adrenal leiomyosarcoma is rarely described in the literature and is often diagnosed at an advanced stage because it is not hormone-producing.
Case Report (n=1)
CT-guided biopsy can be a useful diagnostic tool for rare primary adrenal leiomyosarcomas presenting with inferior vena cava extension.
May support CT-guided biopsy in rare adrenal leiomyosarcoma with IVC extension; hypothesis-generating from single case and should not change practice.
Primary adrenal leiomyosarcoma, a malignant soft tissue tumour originating from the smooth muscle of the inferior vena cava and adrenal vein, is rarely described in the literature. Cases are often diagnosed at an advanced stage as the tumour is not hormone-producing. We describe a 70-year-old man who presented with lower extremity swelling and abdominal varices and was subsequently found to have a large adrenal mass on imaging. Our case is among the few reported primary adrenal leiomyosarcomas in which a CT-guided biopsy was used to aid in diagnosis.
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Doppalapudi et al. (2019) conducted a case report in Primary adrenal leiomyosarcoma (n=1). CT-guided biopsy was evaluated on Diagnosis of primary adrenal leiomyosarcoma. A 70-year-old man with primary adrenal leiomyosarcoma and inferior vena cava extension was successfully diagnosed using a CT-guided biopsy.
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