Large adrenal leiomyoma presented as adrenal incidentaloma in an AIDS patient: A rare entity

Med J Malaysia. 2017 Feb;72(1):65-67.

Abstract

The literature on adrenal gland tumour in HIV-infected patients is scarce. We report a 46-year-old Malay man with HIV and Hepatitis C infection presenting with a large nonfunctioning adrenal tumour. Computed tomography showed a large right adrenal tumour with heterogeneous enhancement and central necrosis. A high index of suspicion of a malignant tumour or pheochromocytoma led us to surgical removal of the adrenal gland. In this case report, we highlight important features to look for during pre-op evaluation of a large adrenal mass. Appropriate action should be taken when there is a suspicion of a pheochromocytoma or malignancy.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Adrenal Gland Neoplasms / complications
  • Adrenal Gland Neoplasms / diagnosis*
  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adrenal Gland Neoplasms / pathology
  • Adrenal Glands / diagnostic imaging
  • Adrenal Glands / pathology
  • Diagnosis, Differential
  • Hepatitis C / complications
  • Humans
  • Leiomyoma / complications
  • Leiomyoma / diagnosis*
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / pathology
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed