In this paper, we report imaging findings of an
adrenal tumor containing a pseudocyst and a myelolipoma which was confused with adrenocortical carcinoma.
Adrenocortical adenoma is the most common
adrenal tumor. Because the majority of adenomas are non-functioning, most of these lesions are detected incidentally on routine imaging performed for unrelated reasons (7).
The
adrenal tumor specimen was measured to be 16x10 cm with a weight of 886 grams (Figure 2).
Figure 2 shows the pathology of
adrenal tumor, pheochromocytoma, and diffuse growth pattern.
Mori, "Primary retroperitoneal mature cystic teratoma presenting as an
adrenal tumor in an adult," International Journal of Urology, vol.
Mercado-Asis et al., "Asymptomatic
adrenal tumor; 386 cases in Japan including our 7 cases," Endocrinologia Japonica, vol.
In this study, the size of the lesions was also a significant parameter for the successful treatment of
adrenal tumor masses.
Otuz bir yasinda erkek hasta, bel agrisi sikayeti ile incelenirken bilgisayarli tomografide sag
adrenal tumor tespit edildi.
Caption: Figure 2: (a) A large
adrenal tumor (orange arrow), (b) pulmonary metastases (red arrows), and (c) abdominal (blue arrow), retroperitoneal lymph nodes (yellow arrow), and pleural effusion (green arrow).
Concerning the anatomical adjacency relation of the splanchnic nerves with kidney, and that the operations on kidney and adrenal gland performed with retroperitoneal laparoscopy have been proved effective in the clinical practice, we supposed that the incision and surgical approach of retroperitoneal laparoscopic resection of
adrenal tumor could be taken for reference (Shi et al., 2014).
Lo, "Teratoma in the region of adrenal gland: a unique entity masquerading as lipomatous
adrenal tumor," Surgery, vol.
After surgical removal of a benign ACTH-independent
adrenal tumor, her cortisol and ACTH levels returned to normal and her psychiatric symptoms gradually diminished over a one-month period, at which point she was discharged.