A vinyl chloride-exposed worker with an adrenal gland angiosarcoma: a case report.
Bottom Line: The bibliographic data was found on the PUBMED bibliographic search site after entering the word "extrahepaticangiosarcoma".Extra-hepatic angiosarcomas have been reported in VC workers, but never AEA.This is the first published report of AEA diagnosed in a worker exposed to VC.
Affiliation: Pathology Department, "Perrino" Hospital, Italy.
Adrenal epithelioidangiosarcoma (AEA) is a rare neoplasm that accounts for less than 1% of sarcomas. Due to its rarity, it can easily be misdiagnosed, both by the clinician and the pathologist. Data on the patient's occupational history was collected and analyzed. The bibliographic data was found on the PUBMED bibliographic search site after entering the word "extrahepaticangiosarcoma". We report a case of adrenal epithelioidangiosarcoma (AEA) in a 68 yr-old Caucasian male factory worker exposed to Vinyl Chloride (VC) for 15 yr. He underwent surgery, chemotherapy and radiotherapy. Hepatic angiosarcoma is a known consequence of VC exposure, but occupational causality of extra-hepatic angiosarcoma is controversial. Extra-hepatic angiosarcomas have been reported in VC workers, but never AEA. Cancerogenic effects of VC involve all endothelial areas of the body and extra-hepatic endothelial tumors may also be caused by this substance. This is the first published report of AEA diagnosed in a worker exposed to VC.
Related in: MedlinePlus
Mentions: In April 2011, a 68 yr old Caucasian male was admitted to the surgery clinic at the GeneralHospital “Perrino” in Brindisi (Italy) because of a pain in the left thorax. A CT scanshowed a suprarenal mass of 7 cm with intra-parenchymal calcifications and dishomogeneousenhancement in contact with the gastric wall, left renal vein and splenic vessels (Fig. 1Fig. 1.