Endothelial cyst of the adrenal gland associated with adrenocortical adenoma: preoperative images simulate carcinoma.

نویسندگان

  • Takeshi Nigawara
  • Satoru Sakihara
  • Kazunori Kageyama
  • Ken Terui
  • Shinobu Takayasu
  • Shingo Hatakeyama
  • Chikara Ohyama
  • Hironobu Sasano
  • Toshihiro Suda
چکیده

A 68-year-old woman was referred for characterization of a left adrenal incidentaloma. Endocrinological examinations indicated subclinical Cushing's syndrome, whereas the large volume (10 cm in diameter) and heterogeneous configuration of the tumor raised a strong suspicion of adrenal carcinoma. Hence, left adrenalectomy was performed. Histopathologically, this lesion was a thick hyaline-walled endothelial cyst, flanked with a compressed adrenocortical adenoma. The puzzling image resemblance of a variation of adrenal cyst to carcinoma necessitated histological examination for confirmative diagnosis. This is the first reported case of adrenal endothelial cyst associated with adrenocortical adenoma, the former of which alone is a rarity.

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عنوان ژورنال:
  • Internal medicine

دوره 48 4  شماره 

صفحات  -

تاریخ انتشار 2009