#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Aneurysmal cyst of the adrenal gland


Authors: Tomáš Hyndrák 1;  Milan Hora 1;  Zdeněk Chudáček 2;  Ondřej Hes 3
Authors‘ workplace: Urologická klinika LF UK a FN, Plzeň 1;  Radiodiagnostické oddělení FN, Plzeň 2;  Šiklův patologicko-anatomický ústav LF UK a FN, Plzeň 3
Published in: Ces Urol 2014; 18(2): 134-137
Category: Case report

Overview

Aim:
Case report of rare cystic tumor of the adrenal gland.

Case report:
A 40-year old woman was examined for a dull pain in her loins. Cystoid adrenal incidentalome was described on CT and MRI images. Based on the results of endocrinologic examination, the decision to perform an adrenalectomy was made. The patient underwent single-port laparoscopic (LESS) adrenalectomy. The final histology described a completely benign lesion – aneurysmal cyst of adrenal gland – cystic lesion of the vascular origin that was in transitional form between cyst and pseudocyst.

Conclusion:
Origin of cystic lesions is variable. Patients with cystic lesions of the adrenal gland have to be monitored carefully. Malignancy has to be excluded in cases where unclear findings are obtained by performing fine needle biopsy under CT control or adrenalectomy.

Key words:
adrenalectomy, adrenal gland, pseudocyst, laparoscopy (LESS).


Sources

1. Sroujieh AS, Farah GR, Haddad MJ, et al. Adrenal cyst; diagnosis and treatment. Br J Urol 1990; 65: 570–575.

2. Chetty R, Silvester AC, Clark SP. Pseudocyst of the adrenal gland. Pathology 1993; 25: 233–235.

3. Medeiros LJ, Lewandrowski KB, Vickery AL. adrenal pseudocyst: a clinical and pathologic study of eight cases. Human patology 1989; 20: 660–665.

4. Laforga J, Bordallo A, Aranda I. Vascular adrenal pseudocyst: cytologic and imunohistochemical study. Diagnostic Cytopathology 2000; 22: 110–112.

5. Nigawara T, Sakihara S, Kageyama K, Terui K, Takayasu S, Hatakeyama S, Ohyama C, Sasano H, Suda T. Endothelial cyst of the adrenal gland associated with adrenocortical adenoma: preoperative images simulate carcinoma. Intern Med. 2009; 48: 235–240. doi: 10.2169/internalmedicine.48.1506

6. Neri LM, Nance FC. Management of adrenal cysts. Am Surg 1999; 65: 151–163.

7. de Bree E, Schoretsanitis G, Melissas J, Christodoulakis M, Tsiftsis D. Cysts of the adrenal gland: diagnosis and management. Int Urol Nephrol 1998; 30: 369–376. doi: 10.1007/BF02550213.

8. Khan MR, Ajmal S, Saleem T. Giant adrenal endothelial cyst associated with acute and chronic morbidity in a young female. Cases Journal. 2009; 2: 8841.

9. Hartmann I, Grepl M, Šmakal O, et al. Laparoskopická adrenalektomie ve FN Olomouc – 15leté zkušenosti. Ces Urol 2013; 17(4): 246–253.

10. Hora M, Stránský P, Eret V, Trávníček I, Ferda J, Chudáček Z, Hes O. LESS (jednoportová laparoskopická) adrenalektomie (AE). Ces Urol 2012; 16(Suppl 1): 86.

Labels
Paediatric urologist Nephrology Urology
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#