Adrenal Hemangioma: A Case of Retroperitoneal Tumor

Introduction. Adrenal hemangioma is a rare disease, with only some 60 cases reported previously. Due to the difficulty of the preoperative diagnosis of adrenal hemangioma, almost all of the cases were diagnosed by a histopathological analysis of surgical specimens. Case Presentation. A 52-year-old m...

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Main Authors: Genta Iwamoto, Kota Shimokihara, Takashi Kawahara, Daiji Takamoto, Masahiro Yao, Jun-ichi Teranishi, Masako Otani, Hiroji Uemura
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/8796327
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author Genta Iwamoto
Kota Shimokihara
Takashi Kawahara
Daiji Takamoto
Masahiro Yao
Jun-ichi Teranishi
Masako Otani
Hiroji Uemura
author_facet Genta Iwamoto
Kota Shimokihara
Takashi Kawahara
Daiji Takamoto
Masahiro Yao
Jun-ichi Teranishi
Masako Otani
Hiroji Uemura
author_sort Genta Iwamoto
collection DOAJ
description Introduction. Adrenal hemangioma is a rare disease, with only some 60 cases reported previously. Due to the difficulty of the preoperative diagnosis of adrenal hemangioma, almost all of the cases were diagnosed by a histopathological analysis of surgical specimens. Case Presentation. A 52-year-old man was referred to our department for further examination of his left retroperitoneal tumor. He had received hemodialysis due to chronic renal failure resulting from membranous nephropathy. Computed tomography revealed a mass around his left hilum. Magnetic resonance imaging (MRI) and positron-emission tomography (PET)-CT were unable to confirm or deny malignancy, and tumor markers, including CEA and CA19-9, showed slight elevation. His tumor grew from 38 mm to 54 mm in diameter in 7 months of follow-up. We therefore planned retroperitoneal tumor resection with left nephrectomy. Histopathologically, hyperplastic small vessels with hemorrhaging and denaturation were seen. The endothelial cells showed no variants or division of the nucleus. Based on this diagnosis, no further therapy was performed. He has had no recurrence in the eight months since the surgery. Conclusion. We herein report a rare case of adrenal hemangioma.
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institution Kabale University
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spelling doaj-art-1fdd768ef5e243729defcb91c75cf4222025-02-03T05:51:54ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/87963278796327Adrenal Hemangioma: A Case of Retroperitoneal TumorGenta Iwamoto0Kota Shimokihara1Takashi Kawahara2Daiji Takamoto3Masahiro Yao4Jun-ichi Teranishi5Masako Otani6Hiroji Uemura7Department of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanDepartment of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanDepartment of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanDepartment of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanDepartment of Urology, Yokohama City University Graduate School of Medicine, Yokohama, JapanDepartment of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanDivision of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama, JapanDepartment of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, JapanIntroduction. Adrenal hemangioma is a rare disease, with only some 60 cases reported previously. Due to the difficulty of the preoperative diagnosis of adrenal hemangioma, almost all of the cases were diagnosed by a histopathological analysis of surgical specimens. Case Presentation. A 52-year-old man was referred to our department for further examination of his left retroperitoneal tumor. He had received hemodialysis due to chronic renal failure resulting from membranous nephropathy. Computed tomography revealed a mass around his left hilum. Magnetic resonance imaging (MRI) and positron-emission tomography (PET)-CT were unable to confirm or deny malignancy, and tumor markers, including CEA and CA19-9, showed slight elevation. His tumor grew from 38 mm to 54 mm in diameter in 7 months of follow-up. We therefore planned retroperitoneal tumor resection with left nephrectomy. Histopathologically, hyperplastic small vessels with hemorrhaging and denaturation were seen. The endothelial cells showed no variants or division of the nucleus. Based on this diagnosis, no further therapy was performed. He has had no recurrence in the eight months since the surgery. Conclusion. We herein report a rare case of adrenal hemangioma.http://dx.doi.org/10.1155/2018/8796327
spellingShingle Genta Iwamoto
Kota Shimokihara
Takashi Kawahara
Daiji Takamoto
Masahiro Yao
Jun-ichi Teranishi
Masako Otani
Hiroji Uemura
Adrenal Hemangioma: A Case of Retroperitoneal Tumor
Case Reports in Medicine
title Adrenal Hemangioma: A Case of Retroperitoneal Tumor
title_full Adrenal Hemangioma: A Case of Retroperitoneal Tumor
title_fullStr Adrenal Hemangioma: A Case of Retroperitoneal Tumor
title_full_unstemmed Adrenal Hemangioma: A Case of Retroperitoneal Tumor
title_short Adrenal Hemangioma: A Case of Retroperitoneal Tumor
title_sort adrenal hemangioma a case of retroperitoneal tumor
url http://dx.doi.org/10.1155/2018/8796327
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AT kotashimokihara adrenalhemangiomaacaseofretroperitonealtumor
AT takashikawahara adrenalhemangiomaacaseofretroperitonealtumor
AT daijitakamoto adrenalhemangiomaacaseofretroperitonealtumor
AT masahiroyao adrenalhemangiomaacaseofretroperitonealtumor
AT junichiteranishi adrenalhemangiomaacaseofretroperitonealtumor
AT masakootani adrenalhemangiomaacaseofretroperitonealtumor
AT hirojiuemura adrenalhemangiomaacaseofretroperitonealtumor