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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Bibliographic Details
Published in:Radiology case reports 2020-01, Vol.15 (1), p.1-6
Main Authors: Ibabao, Christopher, Tsetse, Caleb, Sheth, Yesha, Maitland, Ceceleta, Mohammed, Mujtaba
Format: Article
Language:English
Subjects:
Musculoskeletal
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Summary: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.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2019.09.019