Adrenal inflammatory myofibroblastic tumour

Area of Science:

• Endocrinology
• Surgical Oncology
• Radiology

Background:

• Large adrenal masses can present diagnostic challenges.
• Non-functioning adrenal tumors lack specific clinical indicators.
• Distinguishing benign from malignant adrenal masses preoperatively is often difficult.

Observation:

• A rare case of a large, non-functioning adrenal mass was identified.
• Imaging characteristics of such masses are frequently non-specific.
• Preoperative diagnosis of malignancy is not always definitive.

Findings:

• Non-specific imaging findings complicate the preoperative assessment of adrenal masses.
• The inability to definitively rule out malignancy necessitates aggressive management.
• Radical surgical excision is the recommended approach for large adrenal masses.

Implications:

• Radical excision is mandatory for large adrenal masses to manage potential malignancy.
• This case highlights the importance of surgical intervention when malignancy cannot be excluded.
• Further research into improved preoperative diagnostic modalities for adrenal masses is warranted.