E-ISSN 2146-8362
 

Case Report 


Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature

Malek Mohamed Ayadi, Nadia Boujelben, Raoudha Doghri, Mouna Rezgani, Imen Abbes, maha driss, Riadh Chargui, Karima Mrad, Khaled Rahal.

Abstract
Primary mesenchymal neoplasms of the adrenal gland are extremely rare. The most common primary sarcoma is adrenal angiosarcoma. We report the case of a 51-year-old patient who presented with left flank pain. After ultrasound investigations, the patient underwent surgical removal of an adrenal tumor. The gross adrenal specimen showed extensive cystic changes with old hemorrhage and necrosis. Histologically, irregular branching vascular channels were seen intermixed with solid areas of epithelioid cells. Immunohistochemical staining of tumor cells was positive with antibodies to cytokeratin and CD31. After a 12 months follow-up, the patient is still well with no sign of a relapse. Because of the epithelioid appearance and frequent expression of epithelial immunohistochemical markers, primary epithelioid angiosarcoma of the adrenal gland can be confounded with adrenal carcinomatous metastases. We report our findings with a brief literature review and discussion of differential diagnosis.

Key words: Adrenal gland; epithelioid angiosarcoma; CD31; Cytokeratin; Surgical treatment


 
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REFERENCES
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How to Cite this Article
Pubmed Style

Ayadi MM, Boujelben N, Doghri R, Rezgani M, Abbes I, driss m, Chargui R, Mrad K, Rahal K. Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. J Interdiscip Histopathol. 2016; 4(3): 67-69. doi:10.5455/jihp.20160607021215


Web Style

Ayadi MM, Boujelben N, Doghri R, Rezgani M, Abbes I, driss m, Chargui R, Mrad K, Rahal K. Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. http://www.ejmjih.com/?mno=226070 [Access: October 18, 2018]. doi:10.5455/jihp.20160607021215


AMA (American Medical Association) Style

Ayadi MM, Boujelben N, Doghri R, Rezgani M, Abbes I, driss m, Chargui R, Mrad K, Rahal K. Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. J Interdiscip Histopathol. 2016; 4(3): 67-69. doi:10.5455/jihp.20160607021215



Vancouver/ICMJE Style

Ayadi MM, Boujelben N, Doghri R, Rezgani M, Abbes I, driss m, Chargui R, Mrad K, Rahal K. Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. J Interdiscip Histopathol. (2016), [cited October 18, 2018]; 4(3): 67-69. doi:10.5455/jihp.20160607021215



Harvard Style

Ayadi, M. M., Boujelben, N., Doghri, R., Rezgani, M., Abbes, I., driss, m., Chargui, R., Mrad, K. & Rahal, K. (2016) Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. J Interdiscip Histopathol, 4 (3), 67-69. doi:10.5455/jihp.20160607021215



Turabian Style

Ayadi, Malek Mohamed, Nadia Boujelben, Raoudha Doghri, Mouna Rezgani, Imen Abbes, maha driss, Riadh Chargui, Karima Mrad, and Khaled Rahal. 2016. Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. Journal of Interdisciplinary Histopathology, 4 (3), 67-69. doi:10.5455/jihp.20160607021215



Chicago Style

Ayadi, Malek Mohamed, Nadia Boujelben, Raoudha Doghri, Mouna Rezgani, Imen Abbes, maha driss, Riadh Chargui, Karima Mrad, and Khaled Rahal. "Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature." Journal of Interdisciplinary Histopathology 4 (2016), 67-69. doi:10.5455/jihp.20160607021215



MLA (The Modern Language Association) Style

Ayadi, Malek Mohamed, Nadia Boujelben, Raoudha Doghri, Mouna Rezgani, Imen Abbes, maha driss, Riadh Chargui, Karima Mrad, and Khaled Rahal. "Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature." Journal of Interdisciplinary Histopathology 4.3 (2016), 67-69. Print. doi:10.5455/jihp.20160607021215



APA (American Psychological Association) Style

Ayadi, M. M., Boujelben, N., Doghri, R., Rezgani, M., Abbes, I., driss, m., Chargui, R., Mrad, K. & Rahal, K. (2016) Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature. Journal of Interdisciplinary Histopathology, 4 (3), 67-69. doi:10.5455/jihp.20160607021215





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