Endothelial Cyst of the Adrenal Gland Associated with Adrenocortical Adenoma: Preoperative Images Simulate Carcinoma
| Autor: | Ken Terui, Kazunori Kageyama, Hironobu Sasano, Chikara Ohyama, Shinobu Takayasu, Toshihiro Suda, Shingo Hatakeyama, Satoru Sakihara, Takeshi Nigawara |
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| Rok vydání: | 2009 |
| Předmět: |
Pathology
medicine.medical_specialty medicine.medical_treatment CD34 Adrenocortical adenoma Iodine Radioisotopes Lesion Adrenal Glands Internal Medicine medicine Carcinoma Humans Cyst Diagnostic Errors Radionuclide Imaging Aged Incidental Findings Cysts business.industry Adrenal gland Adrenalectomy General Medicine medicine.disease Magnetic Resonance Imaging Adrenal Cortex Neoplasms Adrenal Cyst medicine.anatomical_structure Adrenocortical Adenoma Female medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Internal Medicine. 48:235-240 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.48.1506 |
| Popis: | A 68-year-old woman was referred for characterization of a left adrenal incidentaloma. Endocrinological examinations indicated subclinical Cushing's syndrome, whereas the large volume (10 cm in diameter) and heterogeneous configuration of the tumor raised a strong suspicion of adrenal carcinoma. Hence, left adrenalectomy was performed. Histopathologically, this lesion was a thick hyaline-walled endothelial cyst, flanked with a compressed adrenocortical adenoma. The puzzling image resemblance of a variation of adrenal cyst to carcinoma necessitated histological examination for confirmative diagnosis. This is the first reported case of adrenal endothelial cyst associated with adrenocortical adenoma, the former of which alone is a rarity. |
| Databáze: | OpenAIRE |
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