OBJECTIVE To determine whether, during the staging of newly diagnosed bronchogenic carcinoma, clinical indicators predict the presence or absence of adrenal metastases detected by computerized tomographic (CT) scans. DESIGN Retrospective review of charts and roentgenograms. SETTING Academic medical center. PATIENTS Two hundred five consecutive patients diagnosed with bronchogenic carcinom...

Solitary fibrous tumor (SFT) is a common neoplasm of the pleura and rarely arises from the retroperitoneal space. We report a case of retroperitoneal SFT. A 54-year-old woman was admitted to the department of dermatology in our hospital for examination and treatment of malignant melanoma of the right lower leg. Computerized tomography (CT) showed the left adrenal mass measuring 6.0 x 4.5 x 10 c...

An adrenal cortical tissue tumor developed in a patient with poorly controlled salt-losing congenital adrenal hyperplasia. A 16-year-old girl became progressively virilized from 13 to 16 years of age. Base line serum progesterone, 17-hydroxyprogesterone, and testosterone levels were high and there was a diurnal pattern of the hormones. Initially elevated urinary 17-ketosteroid and serum steroid...

We report a case of an adrenal lymphangioma removed by retroperitoneal laparoscopy. A 45-year-old female was referred to the urological ward for an adrenal mass that was incidentally detected by ultrasound examination one month earlier. An abdominal ultrasonography (US) scan revealed a 3.0 cm anechoic cystic mass, while a computed tomography (CT) scan revealed a 3.0×2.7 cm left adrenal cystic m...

Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, correction...

BACKGROUND Large adrenal tumors were initially believed to be a relative contraindication to laparoscopic adrenalectomy. METHODS Here we discuss the case of a 42-year-old female with a 12-cm adrenal mass. RESULTS The patient underwent successful laparoscopic resection, and pathology revealed a cavernous hemangioma, a rare benign tumor of the adrenal gland. CONCLUSION The following is a di...

Myelolipoma of the adrenal gland is a rare, benign and biochemically inactive tumor comprising mature fat and hematopoietic elements. Most of these lesions are discovered incidentally. The vast majority occurs within the adrenal glands, but extra-adrenal myelolipomas have also been reported. The typical extra-adrenal myelolipoma is a solitary, well-defined mass with in abdomen. We present a 70 ...

INTRODUCTION Isolated adrenal metastases of invasive ductal breast carcinoma are extremely rare. We report a case with isolated left adrenal metastases, verified three years after diagnosed breast carcinoma. CASE OUTLINE A 58-year-old female patient with a right breast tumor, clinically staged as IIIA (T2N2M0) started neoadjuvant anthracycline chemotherapy after biopsy which revealed invasive...

of differentiated neoplastic Schwann cells. The majority arise from peripheral nerves in the head and neck region and nerves of the upper extremity (1). Visceral schwannomas, in particular, juxtadrenal and adrenal schwannomas are exceedingly rare (2,3,4). Adrenal myelolipomas are composed of mature adipose and hematopoetic elements that resemble bone marrow. It was first described by Grieke in ...

Primary adrenal lymphoma (PAL) is extremely rare although involvement of malignant lymphoma into adrenals is common. We report a case of a 58-year-old man with bilateral PAL who demonstrated adrenal insufficiency. Primary large B-cell lymphoma was proven by a computed tomography-guided needle biopsy of the adrenal tumor. Although a complete remission was once achieved by combination chemotherap...