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Adrenal Neuroblastoma in an Adult: Report of a Case
Authors:Fatih Ata Genc  Murat Aksoy  Yersu Kapran  Fatih Tunca  Refik Tanakol  Yilmaz Basar  Tarik Terzioglu
Affiliation:(1) Department of General Surgery, Medical Faculty of Istanbul University, Capa, 34390 Istanbul, Turkey;(2) Department of Pathology, Medical Faculty of Istanbul University, Capa, 34390 Istanbul, Turkey;(3) Department of Internal Medicine, Medical Faculty of Istanbul University, Capa, 34390 Istanbul, Turkey
Abstract:Neuroblastomas comprise a major part of adrenal tumors in children. However, they are seldom reported in adults. In this report we present the case of a 30-year-old woman who was operated on for an incidentaloma. Following an adrenalectomy, she was put on a chemoradiotherapy regimen. A histopathologic assessment of the specimen revealed Homer-Wright rosettes against a background of fibrillary matrix, which indicated a diagnosis of a neuroblastoma. In spite of a low incidence in adulthood, it should be emphasized that all adrenal tumors without any particular characteristics may be a neuroblastoma, which tends to show a very poor prognosis. Hence, such patients should undergo postoperative chemoradiotherapy, which may improve both the remission rates and survival.
Keywords:Adrenal  Neuroblastoma  Adulthood
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