AEC ASOCIACIÓN ESPAÑOLA DE CIRUGÍA
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CIRUGÍA ESPAÑOLA JOURNAL OF GENERAL AND DIGESTIVE SURGERY
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Sarcomatoid adrenocortical carcinoma: A rare histological variant Carcinoma adrenocortical sarcomatoide. Una variante histológica excepcional
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Alfonso Sánchez-Mayoral Morísª, Arkaitz Perfecto Valerob, Katherine Goncalves Villareal“, Mikel Gastaca Mateob,*
a Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Cruces, Barakaldo, Spain
b Unidad de Cirugía Hepatobiliar, Retroperitoneo y Trasplante Hepático, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Cruces, Barakaldo, Spain ” Servicio de Anatomía Patológica, Hospital Universitario Cruces, Barakaldo, Spain
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Sterile Surgical Ruler
Fig. 1.
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A 66-year-old woman was diagnosed with a retroperitoneal mass invading the left renal vein and a tumor thrombus in the inferior vena cava (Fig. 1A).
We performed left adrenalectomy including the kidney, left renal vein, and the segment of the vena cava containing the thrombus (Fig. 1B). Vena cava reconstruction was performed with a cadaveric graft.
The pathology results reported a sarcomatoid adrenocortical carcinoma (S-ACC) with a dual tumor component: pleomorphic in the periphery, and spindle cell-sarcomatoid in the central region (Fig. 2).
S-ACC is a very rare variant of adrenocortical carcinoma with a poor prognosis. Most patients have a survival rate of less than 12 months after surgical treatment.
DIAGNOSIS: SARCOMATOID ADRENOCORTICAL CARCINOMA
Funding
The present paper has received no specific funding from public, commercial or non-profit entities.
Declaration of competing interest
The authors have no conflicts of interest to declare.
* Corresponding author.
E-mail address: mikel.gastacamateo@osakidetza.eus (M. Gastaca Mateo).
2173-5077/ 2025 Published by Elsevier España, S.L.U. on behalf of AEC.