Adenomatoid tumor of the right adrenal gland in a patient with AIDS
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An autopsy case with an incidentally discovered adenomatoid tumor (AT) arising in the right adrenal gland of a 34-yr-old man with AIDS is presented. The immediate cause of death was disseminated coccidioidomycosis. The affected right adrenal gland was partially substituted by a firm 3.0 cm nodule enclosed by cortical adrenal tissue. Histologically, the tumor had the typical appearance of those adenomatoid neoplasms described in the genital tract. The mesothelial origin of the neoplasm was confirmed by immunopositive cells for low weight cytokeratin and vimentin. Uncommon neoplasms in the adrenal glands of AIDS patients include leiomyosarcomas, leiomyomas, and malignant nerve sheath tumors. This report may represent the first case of an adrenal gland AT in a patient with AIDS, and probable the third well-documented histologically and immunohistochemically adrenal gland AT.
Key WordsAdenomatoid tumor adrenal glands AIDS neoplasia
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- 1.Rosai J. Ackerman surgical pathology. St. Louis: CV Mosby, 1996.Google Scholar
- 8.Siegal GP. Adenomatoid tumors. Adrenal cysts and being first. Arch Lab Pathol Med 114:641,642, 1990.Google Scholar
- 10.Angeles-Angeles A, Reyes E, Baquera-Heredia J, Remolina-Schlig M, Quintanilla-Martínez L. Patología postmortem en SIDA. Experiencia con 21 autopsias realizadas en México. Rev Invest Clin (Méx) 39:S105–115, 1987.Google Scholar
- 12.Dore GJ, Marriott DJ, Duflou JA. Clinicopathological study of cytomegalovirus (CMV) in AIDS autopsies: under-recognition of CMV pneumonitis and CMV adrenalitis. Austr NZ J Med 25:503–506, 1995.Google Scholar
- 18.Remick CS. The spectrum of non-AIDS-defining neoplastic disease on HIV infection. J Invest Med 44:205–215, 1996.Google Scholar