Adenoma corticoadrenal, presentándose como un incidentaloma. Presentación de un caso y revisión de la literatura
| Autor: | A Carolaine Ortega, L Sandra Herrera, S Hugo Corrales, S Miguel Aguilar |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
tumores suprarrenales Adenoma Adrenal gland business.industry suprarrenalectomía laparoscópica 030209 endocrinology & metabolism Hyperplasia medicine.disease Malignancy Asymptomatic incidentaloma suprarrenal 030218 nuclear medicine & medical imaging Benign tumor Lesion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Surgery Radiology Differential diagnosis medicine.symptom business |
| Zdroj: | Revista chilena de cirugía v.70 n.2 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Objective: We present a clinical case with diagnosis of an asymptomatic nonfunctional adrenal incidentaloma, in which we discuss the clinical implications and the approach. Clinical case: Male patient, 53 years old with an accidental sonographic finding, characterized by a hypoechoic image of well-defined contours in the right adrenal gland of less than 2 cm. The hormonal test showed no adrenal hyperfunctioning. Laparoscopic adrenalectomy technique is performed with 4 trocars with complete excision of the lesion. The patient presented good postoperative evolution. Results: The pathology study showed a well-defined and benign tumor lesion of the adrenal gland, being similar to the fascicular zone and cortical hyperplasia next to it. The diagnosis is a non-functioning adenoma of the adrenal gland derived from the fascicular zone. Conclusion: Given the finding of an adrenal mass greater than 1 cm mass corresponds perform a hormonal identification and risk assessment of malignancy in patients, which with imaging parameters (echogenicity, bilateralism and the adjacent commitment) and symptoms presented allow to identify the complications in the management and prognosis of the patient. The differential diagnosis of adrenal adenomas is based on the hormonal evaluation, radiological knowledge and the commitment of the injury. |
| Databáze: | OpenAIRE |
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