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Volume 5, Issue 2, Pages 95-99
Case Report

Primary Leiomyosarcoma of the Adrenal Gland

1Department of Surgical Oncology, Rotterdam, The Netherlands
2Department of Surgical Radiology, Rotterdam, The Netherlands
3Department of Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
4Department of Surgical Oncology, University Hospital Rotterdam–Daniel den Hoed Cancer Center, PO Box 5201, Rotterdam 3008 AE, The Netherlands

Copyright © 2001 Hindawi Publishing Corporation. 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.


We report a rare case of a primary leiomyosarcoma of the adrenal gland. A 73-year-old woman presented with an inferior vena cava syndrome. MR imaging was suggestive of a large tumour originating from the right adrenal gland. Angiography revealed a tumour vascularised by the right adrenal artery. At explorative laparotomy a tumour of 27 cm in diameter was found which was completely fixed to the liver; the tumour was therefore considered unresectable. As a consequence of the mechanical problems caused by this large tumour, the patient died 3 weeks after the operation. Autopsy revealed no distant metastases or other primary tumour site.