Article ; Online: Anastomosing haemangioma of adrenal gland: an unusual vascular tumour.
BMJ case reports
2024 Volume 17, Issue 4
Abstract: With only 15 reported cases, anastomosing haemangioma of adrenal is a rare entity and usually presents as adrenal incidentaloma. A hypertensive, diabetic, non-smoker man in his late 60s presented with irritative voiding symptoms. On evaluation, he was ... ...
Abstract | With only 15 reported cases, anastomosing haemangioma of adrenal is a rare entity and usually presents as adrenal incidentaloma. A hypertensive, diabetic, non-smoker man in his late 60s presented with irritative voiding symptoms. On evaluation, he was found to have a urinary bladder mass and left adrenal incidentaloma measuring 8 cm. Metabolic evaluation confirmed it to be non-functional.The patient underwent transurethral resection of bladder tumour with left laparoscopic adrenalectomy. Intraoperatively, the adrenal tumour was highly vascular with multiple feeder vessels. Grossly it was soft, encapsulated with focal grey-brown areas. Microscopically, most of adrenal gland was replaced by anastomosing proliferating capillary vessels within framework of non-endothelial supporting cells reminiscent of splenic sinusoids. The tumour was positive for CD-31, CD-34, Glut-1 and SMA.Anastomosing haemangioma is a benign entity but it must be differentiated from angiosarcoma. Characteristic imaging features are not yet defined and is, therefore, difficult to diagnose preoperatively. |
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MeSH term(s) | Humans ; Male ; Adrenal Gland Neoplasms/diagnosis ; Adrenal Gland Neoplasms/surgery ; Adrenal Gland Neoplasms/pathology ; Hemangioma/surgery ; Hemangioma/diagnosis ; Hemangioma/complications ; Adrenalectomy/methods ; Diagnosis, Differential ; Middle Aged ; Urinary Bladder Neoplasms/surgery ; Urinary Bladder Neoplasms/diagnosis ; Urinary Bladder Neoplasms/pathology |
Language | English |
Publishing date | 2024-04-25 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2023-259092 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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