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[Nonfunctioning adrenal cortical adenoma: a case report].

S Kanamori, S Okumura, M Hara

    Hinyokika Kiyo. Acta Urologica Japonica
    |August 1, 1984
    PubMed
    Summary
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    A rare case of nonfunctioning adrenal cortical adenoma was identified incidentally in a 56-year-old woman presenting with asymptomatic microscopic hematuria. Surgical removal confirmed the benign adrenal tumor, highlighting the importance of incidental findings.

    Area of Science:

    • Endocrinology
    • Urology
    • Oncology

    Background:

    • Nonfunctioning adrenal cortical adenomas are rare tumors that do not produce excess hormones.
    • Incidental adrenal masses are increasingly detected due to widespread use of advanced imaging techniques.

    Observation:

    • A 56-year-old woman presented with asymptomatic microscopic hematuria.
    • Computed tomography (CT) scan revealed an incidental left adrenal tumor during hematuria evaluation.
    • Venography and adrenal scan confirmed the left adrenal neoplasm.

    Findings:

    • Endocrine studies were normal, indicating a nonfunctioning adenoma.
    • Pathological examination confirmed a 2.2 x 2.0 x 2.0 cm left adrenal cortical adenoma.
    • The tumor was surgically removed.

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    Implications:

    • This case underscores the significance of incidental adrenal findings during investigations for unrelated conditions.
    • Reviewing Japanese literature on nonfunctioning adrenal cortical adenomas provides insights into this rare entity.
    • Early detection and surgical management are crucial for benign adrenal cortical adenomas.