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Adrenal Perivascular Epithelioid Cell Tumor A Case Report With Discussion of Differential Diagnoses
Journal article   Peer reviewed

Adrenal Perivascular Epithelioid Cell Tumor A Case Report With Discussion of Differential Diagnoses

Alireza Zarineh and Jan F. Silverman
Archives of pathology & laboratory medicine (1976), v 135(4), pp 499-502
01 Apr 2011
PMID: 21466369

Abstract

Life Sciences & Biomedicine Medical Laboratory Technology Medicine, Research & Experimental Pathology Research & Experimental Medicine Science & Technology
A 50-year-old man presented with nausea and abdominal bloating sensation of a few months' duration and was found to have a large adrenal mass that was resected after computed tomography scan evaluation. The histopathologic examination showed epithelioid and spindle cells having clear to granular eosinophilic cytoplasm, and small, central, round to oval nuclei with small nucleoli. The tumor cells demonstrated reactivity for smooth muscle actin, HMB-45, Melan-A, and vimentin, with focal positivity for desmin and S100 protein and negative staining for inhibin, synaptophysin, and chromogranin. A diagnosis of perivascular epithelioid cell tumor was made. Perivascular epithelioid cell tumors can arise in a variety of locations, including omentum/mesentery, female genital tract, pelvic soft tissues, skin, and falciform ligament, but an adrenal primary tumor has not been previously reported, to the best of our knowledge. The differential diagnosis is broad and site-dependant and in our case includes several neoplasms with clear cells that can involve the adrenal gland, including a primary adrenocortical neoplasm. A review of the related literature and discussion of the differential diagnoses are presented. (Arch Pathol Lab Med. 2011;135:499-502)

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Collaboration types
Domestic collaboration
Web of Science research areas
Medical Laboratory Technology
Medicine, Research & Experimental
Pathology
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