Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass

Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass

Ewing sarcoma is a malignant tumor that more commonly affects the long bones. Primary Ewing sarcoma of the adrenal gland is a rare diagnosis. We report an unusual case of primary Ewing sarcoma of the adrenal gland in a 34-year-old man who initially presented with abdominal as well as flank pain and...

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Main Authors: Christopher Ibabao, MS, Caleb Tsetse, MB, ChB, Yesha Sheth, MD, Ceceleta Maitland, MD, Mujtaba Mohammed, MD
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319303048
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spelling doaj-5870a50a1b384135bc3d1e0674ac7b432020-11-25T01:01:08ZengElsevierRadiology Case Reports1930-04332020-01-0115116Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal massChristopher Ibabao, MS0Caleb Tsetse, MB, ChB1Yesha Sheth, MD2Ceceleta Maitland, MD3Mujtaba Mohammed, MD4SUNY Upstate Medical University, Oneida, NY, USADepartment of Radiology, SUNY Upstate University hospital, 750 East Adams Street, Syracuse, NY, 13210, USA; Corresponding author.Department of Pathology, SUNY Upstate University hospital, Syracuse, NY, USADepartment of Radiology, SUNY Upstate University hospital, 750 East Adams Street, Syracuse, NY, 13210, USADepartment of Radiology, SUNY Upstate University hospital, 750 East Adams Street, Syracuse, NY, 13210, USAEwing sarcoma is a malignant tumor that more commonly affects the long bones. Primary Ewing sarcoma of the adrenal gland is a rare diagnosis. We report an unusual case of primary Ewing sarcoma of the adrenal gland in a 34-year-old man who initially presented with abdominal as well as flank pain and abdominal mass. Computed tomography and magnetic resonance imaging showed a heterogeneous, hemorrhagic right adrenal mass with inferior vena cava extension and thrombosis. Thus, a major open surgery including right adrenalectomy, right nephrectomy, inferior vena cava thrombectomy with resection, and a retroperitoneal lymph node dissection was necessitated. Early recognition with radiological imaging and treatment of extraosseous Ewing sarcoma of the adrenal gland with a multimodality approach reduces morbidity and mortality. Keywords: Ewing's sarcoma, Primitive neuroectodermal tumor, Abdominal masshttp://www.sciencedirect.com/science/article/pii/S1930043319303048
collection DOAJ
language English
format Article
sources DOAJ
author Christopher Ibabao, MS
Caleb Tsetse, MB, ChB
Yesha Sheth, MD
Ceceleta Maitland, MD
Mujtaba Mohammed, MD
spellingShingle Christopher Ibabao, MS
Caleb Tsetse, MB, ChB
Yesha Sheth, MD
Ceceleta Maitland, MD
Mujtaba Mohammed, MD
Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
Radiology Case Reports
author_facet Christopher Ibabao, MS
Caleb Tsetse, MB, ChB
Yesha Sheth, MD
Ceceleta Maitland, MD
Mujtaba Mohammed, MD
author_sort Christopher Ibabao, MS
title Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
title_short Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
title_full Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
title_fullStr Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
title_full_unstemmed Primary Ewing sarcoma of the adrenal gland: A rare cause of abdominal mass
title_sort primary ewing sarcoma of the adrenal gland: a rare cause of abdominal mass
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2020-01-01
description Ewing sarcoma is a malignant tumor that more commonly affects the long bones. Primary Ewing sarcoma of the adrenal gland is a rare diagnosis. We report an unusual case of primary Ewing sarcoma of the adrenal gland in a 34-year-old man who initially presented with abdominal as well as flank pain and abdominal mass. Computed tomography and magnetic resonance imaging showed a heterogeneous, hemorrhagic right adrenal mass with inferior vena cava extension and thrombosis. Thus, a major open surgery including right adrenalectomy, right nephrectomy, inferior vena cava thrombectomy with resection, and a retroperitoneal lymph node dissection was necessitated. Early recognition with radiological imaging and treatment of extraosseous Ewing sarcoma of the adrenal gland with a multimodality approach reduces morbidity and mortality. Keywords: Ewing's sarcoma, Primitive neuroectodermal tumor, Abdominal mass
url http://www.sciencedirect.com/science/article/pii/S1930043319303048
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