Not functioning adrenocortical carcinoma from diagnosis to management: a case report

Abstract Adrenal gland cysts are rare indications of adrenal diseases, which are commonly asymptomatic. In radiological studies, these cysts, known as incidentalomas, are often detected by coincidence accounting for 6% of the population. Adrenal incidentalomas are commonly detected, and autonomous cortisol hypersecretion is the most prevalent abnormality associated with these masses. Since this complication is recurrent, it requires intermittent morphological and hormonal evaluation for several years. In this paper, we aimed to present the case of a 52-year-old woman with complaints of vague abdominal pain. After laparotomy, the tumor was removed, and umbilical herniorrhaphy was performed on the patient. Laparoscopic adrenalectomy is the first-line surgical treatment for this type of incidentaloma. Ultrasonography revealed an echogenic mass (diameter: 4 cm) in the left adrenal gland of the patient, which was not associated with hernia. In addition, CT-scan showed that the adrenal lesion was hypodense and heterogeneous (diameters: 81*53 mm) with sharp, irregular borders.