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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenal haemangioma.
Khalid Alhajri1, Ibrahim Alhasan, Nasser Alzerwi
1Department of Surgery, Riyadh Military Hospital, Riyadh, Saudi Arabia. dr_alhajeri@hotmail.com
BMJ Case Reports
|June 16, 2012
Summary
Adrenal hemangiomas are rare, benign tumors. This case highlights a large adrenal hemangioma in a woman presenting with flank pain, emphasizing its inclusion in adrenal neoplasm differential diagnoses.
Area of Science:
- Endocrinology
- Oncology
- Pathology
Background:
- Adrenal hemangiomas are rare, benign, non-functioning neoplasms, distinct from more common hepatic hemangiomas.
- The first adrenal cavernous hemangioma was described in 1955, with limited subsequent case reports.
Observation:
- A 75-year-old woman presented with a 5-month history of left flank pain.
- Imaging revealed a large (15×14×18 cm) heterogeneous mass in the left adrenal gland with irregular peripheral enhancement post-contrast.
- Laboratory and tumor marker levels were within normal limits.
Findings:
- Surgical removal and histopathology confirmed an infarcted cavernous adrenal hemangioma.
- No evidence of malignancy was detected in the resected mass.
Implications:
- This case underscores the importance of considering adrenal hemangioma in the differential diagnosis of adrenal masses.
- Large adrenal hemangiomas, though rare, can present with symptoms and require surgical intervention.
- Accurate diagnosis through imaging and histopathology is crucial for appropriate patient management.
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