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Case Reports in Surgery
Volume 2016, Article ID 3768258, 4 pages
http://dx.doi.org/10.1155/2016/3768258
Case Report

A Case Report of Bilateral Adrenal Sarcomatoid Carcinoma

1Department of Endocrinology and Metabolism, Gazi University Faculty of Medicine, Ankara, Turkey
2Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey
3Department of Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
4Department of Pathology, Gazi University Faculty of Medicine, Ankara, Turkey

Received 26 July 2016; Revised 24 November 2016; Accepted 1 December 2016

Academic Editor: Nicholas N. Nissen

Copyright © 2016 Ozlem Turhan Iyidir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.