Background/Aim: To date few cases of smooth muscle-derived tumors of the adrenal gland have been reported and their treatment remains a medical challenge. The aim of this manuscript was to systematically review the literature and present the tumor characteristics and their management in order to provide a standardized approach to their diagnosis and management. Materials and Methods: We searched five databases (PubMed, Scopus, Elsevier, ResearchGate, Google scholar) for relevant articles published until March 2020. Results: Twenty-two cases of adrenal leiomyoma, four cases of adrenal smooth muscle tumor and forty-five cases of adrenal leiomyosarcoma were included. Conclusion: We present the demographic, clinical, radiological, pathological and oncological characteristics and prognosis of tumors of the adrenal gland arising from smooth muscle cells, as well as describe the common clinical investigations and therapeutic modalities that have been reported as part of their management.

中文翻译：

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肾上腺平滑肌瘤和平滑肌肉瘤文献综述：病例报告的系统分析

背景/目的：迄今为止，很少有肾上腺平滑肌源性肿瘤病例的报道，其治疗仍然是医学上的挑战。这篇手稿的目的是系统地回顾文献并介绍肿瘤特征及其管理，以便为其诊断和管理提供标准化的方法。材料和方法：我们检索了 5 个数据库（PubMed、Scopus、Elsevier、ResearchGate、Google 学者）中发表至 2020 年 3 月的相关文章。结果：肾上腺平滑肌瘤 22 例，肾上腺平滑肌瘤 4 例，45 例包括肾上腺平滑肌肉瘤。结论：我们介绍了平滑肌细胞引起的肾上腺肿瘤的人口统计学、临床、放射学、病理学和肿瘤学特征以及预后，