Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus: An imaging mimic of adrenocortical carcinoma

Zsoka Vajtai; Elena Korngold; Jody E. Hooper; Brett C. Sheppard; Bryan R. Foster; Fergus V. Coakley

doi:10.1016/j.clinimag.2013.08.016

Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus: An imaging mimic of adrenocortical carcinoma

Zsoka Vajtai, Elena Korngold, Jody E. Hooper, Brett C. Sheppard, Bryan R. Foster, Fergus V. Coakley

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

We report a 57-year-old previously healthy man who presented with dull right upper quadrant pain, weight loss, fatigue, and night sweats. Computed tomography demonstrated a large, heterogeneously enhancing, soft tissue mass with no macroscopic fat above the right kidney with tumor thrombus extending into the inferior vena cava and right atrium. Positron Emission Tomography scanning demonstrated intense Fluorodeoxyglucose avidity in the primary tumor and tumor thrombus. The presumptive radiological diagnosis was adrenocortical carcinoma, but surgical pathology revealed a dedifferentiated liposarcoma. We conclude that suprarenal retroperitoneal liposarcoma should be included in the differential diagnosis for an apparent adrenal mass with venous invasion.

Original language	English (US)
Pages (from-to)	75-77
Number of pages	3
Journal	Clinical Imaging
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.clinimag.2013.08.016
State	Published - Jan 2014

Keywords

Adrenocortical carcinoma
PET/CT
Retroperitoneal liposarcoma

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.clinimag.2013.08.016

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title = "Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus: An imaging mimic of adrenocortical carcinoma",

abstract = "We report a 57-year-old previously healthy man who presented with dull right upper quadrant pain, weight loss, fatigue, and night sweats. Computed tomography demonstrated a large, heterogeneously enhancing, soft tissue mass with no macroscopic fat above the right kidney with tumor thrombus extending into the inferior vena cava and right atrium. Positron Emission Tomography scanning demonstrated intense Fluorodeoxyglucose avidity in the primary tumor and tumor thrombus. The presumptive radiological diagnosis was adrenocortical carcinoma, but surgical pathology revealed a dedifferentiated liposarcoma. We conclude that suprarenal retroperitoneal liposarcoma should be included in the differential diagnosis for an apparent adrenal mass with venous invasion.",

keywords = "Adrenocortical carcinoma, PET/CT, Retroperitoneal liposarcoma",

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T1 - Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus

T2 - An imaging mimic of adrenocortical carcinoma

AU - Vajtai, Zsoka

AU - Korngold, Elena

AU - Hooper, Jody E.

AU - Sheppard, Brett C.

AU - Foster, Bryan R.

AU - Coakley, Fergus V.

PY - 2014/1

Y1 - 2014/1

N2 - We report a 57-year-old previously healthy man who presented with dull right upper quadrant pain, weight loss, fatigue, and night sweats. Computed tomography demonstrated a large, heterogeneously enhancing, soft tissue mass with no macroscopic fat above the right kidney with tumor thrombus extending into the inferior vena cava and right atrium. Positron Emission Tomography scanning demonstrated intense Fluorodeoxyglucose avidity in the primary tumor and tumor thrombus. The presumptive radiological diagnosis was adrenocortical carcinoma, but surgical pathology revealed a dedifferentiated liposarcoma. We conclude that suprarenal retroperitoneal liposarcoma should be included in the differential diagnosis for an apparent adrenal mass with venous invasion.

AB - We report a 57-year-old previously healthy man who presented with dull right upper quadrant pain, weight loss, fatigue, and night sweats. Computed tomography demonstrated a large, heterogeneously enhancing, soft tissue mass with no macroscopic fat above the right kidney with tumor thrombus extending into the inferior vena cava and right atrium. Positron Emission Tomography scanning demonstrated intense Fluorodeoxyglucose avidity in the primary tumor and tumor thrombus. The presumptive radiological diagnosis was adrenocortical carcinoma, but surgical pathology revealed a dedifferentiated liposarcoma. We conclude that suprarenal retroperitoneal liposarcoma should be included in the differential diagnosis for an apparent adrenal mass with venous invasion.

KW - Adrenocortical carcinoma

KW - PET/CT

KW - Retroperitoneal liposarcoma

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Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus: An imaging mimic of adrenocortical carcinoma

Abstract

Keywords

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