Первичная лейомиосаркома надпочечника: клинический случай и обзор литературы

Лейомиосаркома надпочечника – это редкая мезенхимиальная опухоль надпочечников, диагностика которой происходит чаще всего после того, как она достигает больших размеров. Первичная лейомиосаркома надпочечников встречается крайне редко: в англоязычной литературе ранее сообщалось только о 45 клинических наблюдениях. Мы представляем клинический случай 46-летнего мужчины с образованием правого надпочечника размерами 12х8х7,5 см. Пациенту было проведено оперативное вмешательство в объеме правосторонняя адреналэктомия, нефрэктомия, пластика нижней полой вены. Фенотип подтвержден световой микроскопией и иммуногистохимией. Микроскопическое исследование опухоли представлено из веретеновидных и полиморфных клеток, формирующих разнонаправленные пучковые структуры, имеющие высокую скорость митоза. Иммуногистохимически опухолевые клетки оказались положительны на актин гладких мышц, СD - 34, CD – 117.

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