ADENOMATOID TUMOR OF THE RIGHT ADRENAL-GLAND IN A PATIENT WITH AIDS

An autopsy case with an incidentally discovered adenomatoid tumor (AT) arising in the right adrenal gland of a 34-yr-old man with AIDS is pr esented. The immediate cause of death was disseminated coccidioidomyco sis. The affected right adrenal gland was partially substituted by a f irm 3.0 cm nodule enclosed by cortical adrenal tissue. Histologically, the tumor had the typical appearance of those adenomatoid neoplasms d escribed in the genital tract. The mesothelial origin of the neoplasm was confirmed by immunopositive cells for low weight cytokeratin and v imentin. Uncommon neoplasms in the adrenal glands of AIDS patients inc lude leiomyosarcomas, leiomyomas, and malignant nerve sheath tumors. T his report may represent the first case of an adrenal gland AT in a pa tient with AIDS, and probable the third well-documented histologically and immunohistochemically adrenal gland AT.