Pulmonary metastasis of sarcomatous component of adrenocortical carcinoma

A 43-year-old man presented with a pulmonary nodule in the left lower lobe and he consulted our hospital one year after resection of left adrenocortical carcinoma. We performed a wedge resection of the left lower pulmonary lobe for diagnosis. The tumor was diagnosed as a metastatic sarcoma, but the...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 67; no. 12; p. 1089
Main Authors Ui, Akiko, Horio, Hirotoshi, Murakami, Satoko, Harada, Masahiko, Hijima, Tsunekazu
Format Journal Article
LanguageJapanese
Published Japan 01.11.2014
Subjects
Adrenal Cortex Neoplasms - pathology
Adrenal Cortex Neoplasms - surgery
Adrenocortical Carcinoma - secondary
Adrenocortical Carcinoma - surgery
Adult
Humans
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Male
Sarcoma - surgery
Tomography, X-Ray Computed
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Summary:A 43-year-old man presented with a pulmonary nodule in the left lower lobe and he consulted our hospital one year after resection of left adrenocortical carcinoma. We performed a wedge resection of the left lower pulmonary lobe for diagnosis. The tumor was diagnosed as a metastatic sarcoma, but the primary site could not be resolved. We assessed the histopathology of the adrenal tumor, which was obtained from the patient's former hospital, and it showed that the tumor consisted of both carcinomatous and sarcomatous components. This enabled us to diagnose the nodule as a pulmonary metastasis from the adrenocortical carcinoma. Adrenocortical carcinoma with a sarcomatous component is very rare. This case is a first report of a resected pulmonary metastasis of sarcomatous component of adrenocortical carcinoma.
ISSN:0021-5252