A case of EBV-associated adrenal leiomyoma.

Authors :: Takemoto T
Kiriyama I
Sugawara Y
Abe C
Teramoto N
Hashine K
Yoshida I
Asagi A
Source :: Radiology case reports [Radiol Case Rep] 2024 Mar 16; Vol. 19 (6), pp. 2224-2229. Date of Electronic Publication: 2024 Mar 16 (Print Publication: 2024).
Publication Year :: 2024
Abstract: Adrenal leiomyomas are rare and often reported as Epstein-Barr virus (EBV)-associated smooth muscle tumor (SMT) in association with EBV infection in immunocompromised patients. We experienced a case of right adrenal leiomyoma that was incidentally found in a man in his 70s. Computed Tomography (CT) showed a well-circumscribed mass of 3.1 cm in diameter in the right adrenal gland, which increased to 4.9 cm in diameter over 1 year. Preoperative diagnosis was difficult due to the lack of specific imaging findings. He had a history of diffuse large B-cell lymphoma (DLBCL) 8 years ago, and EBV had been detected in his blood. EBV-encoded small RNA(EBER) in situ hybridization (EBER-ISH) of the right adrenal leiomyoma was positive, and the final diagnosis was EBV-associated leiomyoma.<br /> (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)