Adrenal Leiomyoma: a Rare Tumor Presented as an Incidentaloma in a Women with Ovarian Mature Cystic Teratoma

Shankar Bastakoti; Nirmal Lamichhane; Sadina Shrestha; Ishan Dhungana

Shankar Bastakoti Department of Pathology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
Nirmal Lamichhane Urology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
Sadina Shrestha Department of Pathology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
Ishan Dhungana Department of Pathology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal

Keywords: Incidentaloma, adrenal mass, leiomyoma

Abstract

Adrenal leiomyoma is a rare neoplasm and usually associated with adrenal vein or its tributaries. These are benign in nature and are composed of smooth muscle cells . A sixty years Normotensive,
non-HIV lady presented with right adnexal mass diagnosed as Mature Cystic Teratoma along with adrenal incidentalomas for which laparoscopic adrenalectomy was done and histopathology
diagnosis was Leiomyoma. These are more common in immunocompromised patients especially HIV and or EBV infection. Adrenal incidentalomas can have a hormone secreting functions or they can be malignant tumors hence a proper evaluation and treatment should be performed.