J Korean Med Sci.
1997 Aug;12(4):374-377. 10.3346/jkms.1997.12.4.374.
Adrenal carcinosarcoma--a case report
- Affiliations
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- 1Department of Pathology and Urology, Seoul National University College of Medicine, Korea.
- KMID: 1081062
- DOI: http://doi.org/10.3346/jkms.1997.12.4.374
Abstract
- Carcinosarcoma of the adrenal gland is an extremely rare variant of adrenocortical carcinoma, characterized by a biphasic pattern of carcinoma and sarcoma-like components. We report a case of adrenal carcinosarcoma occurring in a 61-year-old Korean man who presented with right flank pain of one month duration radiating to the back and right iliac crest. The tumor measured 12 x 12 x 7 cm and adhered to the liver and right upper pole of the kidney. The carcinomatous component of the tumor showed polygonal cells in a broad anastomosing trabecular pattern with delicate slit-like vascular channels; the sarcomatous component showed uniform spindled cells in a fascicular pattern. Both the carcinomatous and sarcomatous portions of the tumor were positive for pan-cytokeratin, and vimentin stained only the sarcomatous areas.
