Angiomyolipoma of the left adrenal gland: a case report and literature review
Autor: | Jingjing Zhang, Heng Liu, Junwei Liu, Jie Hu, Yu Yin, Lingli Li, Yonghua Bai, Cheng He |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Angiomyolipoma business.industry Usually asymptomatic Adipose tissue Case Report 030204 cardiovascular system & hematology medicine.disease Perivascular Epithelioid Cell Left adrenal gland 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases 030220 oncology & carcinogenesis medicine Surgery Radiology Differential diagnosis Presentation (obstetrics) business Epithelioid cell |
Zdroj: | Gland Surg |
ISSN: | 2227-8575 2227-684X |
DOI: | 10.21037/gs-21-244 |
Popis: | Angiomyolipoma (AML) is apparent a part of mesenchymal tumor arising from perivascular epithelioid cell origin. AML is formed of blood vessels, spindle and epithelioid cells, and mature adipocytes. Adrenal AML is very rare. Indeed, only 21 cases of adrenal AML have been reported in the English-language literature. In these cases, patients were usually asymptomatic, and AML was often examined passingly during a health checkup or a common abdominal ultrasound (US) or a computed tomography (CT) examination for a other unrelated disease. This is a case report of adrenal AML in a 40-year-old male who presented with no clinical manifestations. Some 3 months ago, a first abdominal routine CT scan revealed a left adrenal mass. Three months later, a routine US showed a hypoechoic area of 21 mm × 15 mm in the left adrenal gland. A retroperitoneoscopic resection of the left adrenal gland tumor was then performed. A postoperative histopathology report confirmed a benign AML composed of blood vessels, smooth muscle, and mature adipose tissue. The patient was discharged without event. Due to the paucity of the literature on this subject, more clinical and imaging information about this disease is necessary for diagnosis, differential diagnosis, and treatment. In this paper, we present a complete case report, including the clinical presentation, imaging, treatment, and conduct a review of the relevant literature. |
Databáze: | OpenAIRE |
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