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[Adrenal ganglioneuroma]
M Watanabe1, Y Kubota, J Hirano
1Department of Urology, Yamagata University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|May 1, 1991
Summary
This case report details an adrenal ganglioneuroma, a rare adrenal tumor. The large size of this tumor, exceeding 5 cm, can mimic malignancy on computed tomography scans, necessitating careful diagnosis.
Area of Science:
- Endocrinology
- Oncology
- Pathology
Background:
- Adrenal ganglioneuromas are rare tumors arising from the adrenal medulla.
- Incidental findings of abdominal masses often require detailed investigation.
Observation:
- A 29-year-old male presented with a 6-cm incidentally discovered right abdominal mass.
- Imaging revealed a well-defined oval mass with calcification, hypointense on T1 MRI.
- Adrenal scintigraphy showed reduced tracer accumulation in the enlarged adrenal gland.
Findings:
- Surgical excision revealed a yellowish-white, homogeneous mass weighing 101g.
- Pathological diagnosis confirmed the mass as a ganglioneuroma.
- All previously reported adrenal ganglioneuromas were larger than 5 cm.
Implications:
- Large adrenal ganglioneuromas can present imaging characteristics suggestive of malignancy.
- Radiologists and clinicians should consider ganglioneuroma in the differential diagnosis of large adrenal masses.
- Careful pathological examination is crucial for accurate diagnosis and management of adrenal tumors.