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Journal of Medical Ultrasonics

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1987 - Vol.14

Vol.14 No.02

Case Report(症例報告)

(0165 - 0170)


A Case of Adrenal Malignant Hemangioendothelioma

藤本 武利1, 江崎 昌俊1, 川田 良得1, 河野 通一1, 田中 清一1, 檜山 護1, 平塚 秀雄1, 今瀬 信孝2

Taketoshi FUJIMOTO1, Masatoshi ESAKI1, Yoshinori KAWADA1, Michikazu KAWANO1, Seiichi TANAKA1, Mamoru HIYAMA1, Hideo HIRATSUKA1, Sadanori IMASE2

1平塚胃腸病院外科, 2平塚胃腸病院超音波検査室

1Department of Surgery, Hiratsuka Gastroenterological Hospital, 2Division of Ultrasound, Hiratsuka Gastroenterological Hospital

キーワード : Adrenal gland, Malignant hemangioendothelioma, Ultrasonography

A case of left adrenal malignant hemangioendothelioma was reported here. A 56-year-old female visited our hospital because of discomfort of left upper abdomen. Ultrasonography (US) revealed a large mass lesion (8×7×6 cm) among left kidney, spleen, and aorta. The lesion had mostly multilocular cystic part and partially solid part. Solid part was heterogeneous and had mosaic pattern and calcifications. She underwent exterpation of left adrenal tumor. Ten months later, she had multiple hyperechoic liver tumors. Thereafter, US revealed rapid increase of metastatic liver tumors. They became multilocular cystic mass lesions, resembling primary tumor. She died eleven months after operation, in spite of chemotherapy.
This is first case report of adrenal malignant hemangioendothelioma in Japan.