Rare Case of Inflammatory Myofibroblastic Tumor of the Adrenal Mimicking Adrenocortical Carcinoma

Goonj Johri, Gyan Chand, Mishra SK, Paramita Paul and Vinita Agrawal

Department of Endocrine Surgery, SGPGIMS, India
Department of Pathology, SGPGIMS, India

^*Correspondance to: Mishra SK 

 PDF  Full Text DOI: 10.25107/2474-1647.1524

Abstract

Background: Inflammatory Myofibroblastic tumors (IMT) arising from the adrenal gland are extremely rare. Until now only 5 cases have been reported in literature.Case Report: 55 year old male under evaluation for fever, right upper abdominal pain and nonprogressive jaundice on abdominal CECT was found to have a large right suprarenal mass, high suspicion of adrenocortical carcinoma. He underwent adrenalectomy after hormonal evaluation. Final histopathology was Inflammatory Myofibroblastic tumor. A rare tumor composed of plump, spindle cells or myofibroblasts and histiocytoid cells arranged haphazardly and in fascicles, accompanied by prominent chronic inflammatory infiltrate, particularly plasma cells.Conclusion: IMT of the adrenal are rare. Radiologically and clinically they mimic a malignant process and must be considered in the differential of radiologically suspicious adrenal masses. Complete surgical resection is mandatory as malignancy cannot be excluded preoperatively.

Keywords

Inflammatory myofibroblastic tumors; Adrenal gland; Histopathology; Immunohistochemistry

Cite the article

Johri G, Chand G, Mishra SK, Paul P, Agrawal V. Rare Case of Inflammatory Myofibroblastic Tumor of the Adrenal Mimicking Adrenocortical Carcinoma. Clin Surg. 2017; 2: 1524.