Imaging findings of primary epithelioid sarcoma of adrenal gland: a case report and literature review

Hongyu Yin; Yi Zhang; Linyun Wu; Ji Zhang

doi:10.3389/fonc.2023.1015258

Imaging findings of primary epithelioid sarcoma of adrenal gland: a case report and literature review

Front Oncol. 2023 May 15:13:1015258. doi: 10.3389/fonc.2023.1015258. eCollection 2023.

Authors

Hongyu Yin¹, Yi Zhang², Linyun Wu³, Ji Zhang²

Affiliations

¹ Graduate School of Dalian Medical University, Dalian, Liaoning, China.
² Department of Radiology, Jiangsu Taizhou People's Hospital, Taizhou, Jiangsu, China.
³ Taizhou Polytechnic College, Taizhou, Jiangsu, China.

Abstract

Epithelioid sarcoma (ES) is a rare soft tissue malignant tumor with an uncertain histogenetic origin. It usually arises in soft tissues of the extremities, while ES in adrenal gland is extremely rare. There is no special clinical manifestation in the early stage, so it may be misdiagnosed and delay the treatment. We reported a 69-year-old male with an adrenal ES. The tumor was completely resected, and two months later, positron emission tomography-computed tomography(PET/CT) noted recurrence at the tumor bed and multiple metastases. The patient has been treated with chemotherapy with good effects. We summarize the radiological findings and immunohistochemical indexes of primary epithelioid sarcoma of adrenal gland, which may be useful to promote disease awareness and help to distinguish among other lesions.

Keywords: CT; MRI; adrenal gland; imaging findings; primary epithelioid sarcoma.

Publication types

Case Reports

Grants and funding

This work was supported by Jiangsu Province’s 333 High-Level Talent Project (grant number: BRA2020193), Jiangsu Provincial Medical Youth Talent (grant number: LGY2018032).