Laparoscopic resection of giant myelolipoma on the right adrenal gland

A case of 49-year-old woman with a retroperitoneal undifferentiated foregut cyst attached to the right adrenal gland is reported. The bronchogenic cyst is a type of foregut cyst with a cartilage component, but in this case the multicystic tumor lacked both cartilage and gland. It is quite rare among retroperitoneal tumors and has not been reported so far to have malignant potential. The preoperative diagnosis was an adrenal benign incidentaloma, and the patient successfully underwent laparoscopic resection of the cystic tumor together with the right adrenal gland by lateral transabdominal approach. Laparoscopic surgery for a retroperitoneal tumor is problematic, however, since benignancy cannot be predicted. In laparoscopic adrenalectomy for non-functioning adrenal tumor, therefore, a differential diagnosis from retroperitoneal tumor should be given serious consideration.

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The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery

Open Medicine ◽

10.1515/med-2015-0049 ◽

2015 ◽

Vol 10 (1) ◽

Cited By ~ 2

Author(s):

Ryszard Pogorzelski ◽

Sadegh Toutounchi ◽

Patryk Fiszer ◽

Ewa Krajewska ◽

Izabela Łoń ◽

...

Keyword(s):

Adrenal Gland ◽

Chromaffin Cell ◽

Cell Tumor ◽

Cell Seeding ◽

Case Presentation ◽

Tumor Capsule ◽

Exact Localization ◽

Local Spread ◽

The Right ◽

Multiple Recurrences

AbstractIntroduction: We present a case of a 29-year-old patient treated due to fully symptomatic pheochromocytoma of the right adrenal gland. Case presentation: Patient was operated on and an open right-sided adrenalectomy was performed. At the time of the surgery, a rupture of the tumor capsule occurred. Five years post-operatively, a recurrence of the symptoms of chromaffin-cell tumor was noted. After the exact localization of the multiple recurrences, the patient was reoperated on. Conclusion: The case of pheochromocytoma is presented due to the possibility of chromaffin-cell seeding into the peritoneum, with no signs of distal metastases so far.

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Effective Therapy of Insulinoma by Using Long-Acting Somatostatin Analogue. A Case Report and Literature Review

Experimental and Clinical Endocrinology & Diabetes ◽

10.1055/s-0031-1287792 ◽

2011 ◽

Vol 120 (02) ◽

pp. 68-72 ◽

Cited By ~ 10

Author(s):

A. Jawiarczyk ◽

M. Bolanowski ◽

J. Syrycka ◽

G. Bednarek-Tupikowska ◽

M. Kałużny ◽

...

Keyword(s):

Adrenal Gland ◽

Somatostatin Receptors ◽

Subcutaneous Administration ◽

Pancreatic Neuroendocrine Tumor ◽

Somatostatin Analogue ◽

Left Adrenal Gland ◽

Glucose Levels ◽

Long Acting ◽

The Right

AbstractWe are reporting a case of 68-year-old woman with insulinoma, after a non-successful tumor surgery and a long-term diazoxide treatment. She had a lot of hypoglycemia cases, and a weight gain of 50 kg. An abdominal CT scan demonstrated a tumor 28 mm in the diameter, in the head of the pancreas. The patient did not agree for the repeated insulinoma surgery. Furthermore, we found a lesion in the left adrenal gland (14 mm in the diameter) and in the right lung (8 mm in the diameter). Pheochromocytoma was diagnosed on the basis of hypertension, elevated levels of normetanephrine in the 24-h urine collection, and an elevated level of norepinephrine in a plasma sample. After the left adrenal gland removal we observed lower blood pressure. Since we had revealed the presence of somatostatin receptors by the somatostatin receptors scintigraphy, we decided to control hypoglycemia by a monthly subcutaneous administration of the long-acting lanreotide. Because of higher glucose levels (300–400 mg/dl) we started an intense insulin therapy. Nowadays, the patient feels better, she has lost 20 kg of her body weight, and we have observed normal blood glucose levels during the long-term lanreotide treatment. We have noticed neither side effects nor hypoglycemic episodes and we have reduced the dose of insulin. The presented case can be an evidence of the effective treatment of the pancreatic neuroendocrine tumor of insulinoma type, with somatostatin analogue.

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Graef, Bunin and Rotlino. Sarcoma of the adrenal cortex with hirsutism, hypertension and obesity. (Arch. Int. Med., No. 6, 1936)

Kazan medical journal ◽

10.17816/kazmj75751 ◽

1937 ◽

Vol 33 (9) ◽

pp. 1141-1141

Author(s):

E. Auslander

Keyword(s):

Adrenal Gland ◽

Adrenal Cortex ◽

The Right

The case was observed in a girl of 19 years old. Autopsy reveals a huge tumor of the right adrenal gland

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Giant adrenal hemangioma: Unusual cause of huge abdominal mass

Canadian Urological Association Journal ◽

10.5489/cuaj.2967 ◽

2015 ◽

Vol 9 (11-12) ◽

pp. 834 ◽

Cited By ~ 3

Author(s):

Mohamed Tarchouli ◽

Adil Boudhas ◽

Moulay Brahim Ratbi ◽

Mohamed Essarghini ◽

Noureddine Njoumi ◽

...

Keyword(s):

Adrenal Gland ◽

Abdominal Mass ◽

Abdominal Distension ◽

Microcytic Anemia ◽

Hypochromic Microcytic Anemia ◽

Normal Limits ◽

Laboratory Examinations ◽

Right Lobe ◽

The Right

Adrenal hemangioma is an extremely rare benign and non-functioning neoplasm of the adrenal gland. We report a case of a 71-year-old woman admitted for intermittent abdominal pain and abdominal distension associated with vomiting and chronic constipation for 5 years. Physical examination revealed a large abdominal mass. Both computed tomography scan and magnetic resonance imaging suggested hemangioma in the right lobe of the liver. Laboratory examinations and tumour markers were within normal limits, except for hypochromic microcytic anemia. The mass was removed intact by conventional surgery and histopathology revealed a cavernous hemangioma of the adrenal gland with no signs of malignancy. Surgical resection was curative, with no recurrence at the 2-year follow-up.

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Metastatic renal cell carcinoma of unknown primary site. Clinical follow-up

Modern Oncology ◽

10.26442/18151434.2020.3.200301 ◽

2020 ◽

Vol 22 (3) ◽

pp. 149-153

Author(s):

N. A. Ognerubov ◽

T. S. Antipova ◽

G. E. Gumareva

Keyword(s):

Computed Tomography ◽

Renal Cell Carcinoma ◽

Adrenal Gland ◽

Cell Carcinoma ◽

Renal Cell ◽

Clear Cell ◽

Cell Cancer ◽

Primary Site ◽

The Right

Renal cell cancer metastases without evidence of a primary tumor are extremely rare. These variants are usually showed as a spontaneous description of single clinical cases. Aim.This contribution is a clinical follow-up of synchronous renal cell cancer metastases of unknown primary site. Results.A 52-year-old patient U. with a history of increased blood pressure, up to 170/100 mmHg for the last 5 years, who had undergone many instrumental examinations, including ultrasound examination, because of this disease. The computed tomography of the abdomen showed a 4975 mm heterogeneous tumor in the right adrenal gland in October 2017. The combined positron emission and X-ray computed tomography showed a 795441 mm mass in the right adrenal gland, associated with elevated fluorodeoxyglucose metabolic activity SUVmax 7.25. Focal accumulation of the radiopharmaceutical SUVmax 4.31 in a 171124 mm mass was detected in the space of bifurcation in the mediastinum. The lytic lesion (1015 mm) was found in right superior L3 articular process. The patient underwent retroperitoneoscopic adrenalectomy and thoracoscopic removal of mediastinal tumor in November 2017 because of the oligometastatic nature of the process. The histological study identified clear-cell carcinoma with areas of papillary structure in the right adrenal gland. The immunohistochemical study showed carcinoma cells intensively expressing CD10, and some other cells RCC. The immune phenotype of the tumor was identified as clear-cell renal cell carcinoma. The immunohistological and immunohistochemical analysis reviled the metastases of the same variant of renal cell carcinoma in one of 9 lymph nodes. The patient was treated with pazopanib. The primary renal tumor was not detected during the dynamic observation, including the application of annual combined positron emission and X-ray computed tomography. The patient is alive without disease progression with a follow-up of 32 months. Conclusion.Metastases of clear-cell renal cell carcinoma, including adrenal gland, without evidence of a primary site are extremely rare. The main method of treatment is a combination of surgery and targeted therapy, providing long-term local control of the course of the disease.

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Virilization in a Girl with Adrenocortical Adenoma: A Case Report

Ibrahim Medical College Journal ◽

10.3329/imcj.v6i2.14736 ◽

2013 ◽

Vol 6 (2) ◽

pp. 70-72

Author(s):

Tahniyah Haq ◽

SM Ashrafuzzaman ◽

Zafar A Latif

Keyword(s):

Case Report ◽

Soft Tissue ◽

Adrenal Gland ◽

Ct Scan ◽

Dehydroepiandrosterone Sulfate ◽

Adrenocortical Adenoma ◽

Adrenal Carcinoma ◽

Mass Size ◽

The Right ◽

Androgen Levels

We present a case of Cushings syndrome and virilization in a 15 year old girl which was suspected to be due to an adrenal carcinoma. She presented with features of virilization in addition to those of hypercortisilism. Her high androgen levels especially dehydroepiandrosterone sulfate (DHEAS) were also in favor of an adrenal carcinoma. An unenhanced computerized tomography (CT) scan showed a mass (size: 5.3 cm) in the right adrenal gland with a soft tissue intensity of more than 10 HU which was suggestive of adrenal carcinoma. But, histopathology of the resected mass revealed a benign adrenocortical adenoma. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14736 Ibrahim Med. Coll. J. 2012; 6(2): 70-72

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ADRENAL ANGIOMYOLIPOMA: A SURGICAL RARITY

10.36106/1524332 ◽

2021 ◽

pp. 22-23

Author(s):

Mikail Merchant ◽

Sushrut Tendulkar ◽

Abhijit Thakur ◽

Seelam Lakshmi Mounika

Keyword(s):

Back Pain ◽

Early Diagnosis ◽

Adrenal Gland ◽

Laparoscopic Resection ◽

Accurate Diagnosis ◽

Uneventful Recovery ◽

Minimal Risk ◽

Adrenal Tumour ◽

Systemic Symptoms ◽

Hormonal Assay

Adrenal Angiomyolipoma's are extremely rare forms of lipomatous tumours of adrenal gland. They may go undetected for years without symptoms. The patient may become symptomatic, once the tumour has gained a signicant size, mainly back pain. We are reporting our case which is a one of a kind benign Adrenal tumour. Adrenal Angiomylipomas are found as incidentalomas in patients, generally presenting with mild to no symptoms, leading to a long delay before they are diagnosed. However, early diagnosis is key, not only to alleviate symptoms but to also prevent a future surgical disaster due to rupture causing cardiovascular shock if large enough. Our patient presented with dull aching ank pain without any systemic symptoms. The diagnosis requires a multifocal approach to be conrmed including hormonal assay and radiological testing whereas following a “clinical only” approach maybe insufcient and often mislead a clinician from establishing an accurate diagnosis. These patients could be offered laparoscopic resection at specialized centres with minimal risk of complication and early uneventful recovery.

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BECKWITH'S SYNDROME WITH EXTREME ORGAN HYPERPLASIA

PEDIATRICS ◽

10.1542/peds.52.3.372 ◽

1973 ◽

Vol 52 (3) ◽

pp. 372-381

Author(s):

Thomas F. Roe ◽

Ann K. Kershnar ◽

Jordan J. Weitzman ◽

Luis Salinas Madrigal

Keyword(s):

Adrenal Gland ◽

Abdominal Mass ◽

Severe Hypoglycemia ◽

Immunoreactive Insulin ◽

Left Adrenal Gland ◽

Adrenal Steroid ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Pedunculated Tumor ◽

The Right

A large newborn infant with hemihypertrophy, omphalocele, hepatomegaly, left upper quadrant abdominal mass, and zoster-like skin rash had severe hypoglycemia at 4 hours of age. Serum immunoreactive insulin levels were markedly elevated. Hypoglycemia was not controlled by vigorous medical therapy but blood glucose levels returned toward normal following subtotal excision of the markedly hyperplastic pancreas at 24 days of age. At 4½ months of age, a right upper quadrant abdominal mass was noted and urinary adrenal steroid levels were elevated. The right adrenal gland was found to be markedly hyperplastic and it was removed; the left adrenal gland was slightly hyperplastic. Between the ages of 5 and 8 months the umbilical stump enlarged progressively forming a large pedunculated tumor which was removed. This patient presents an unusually severe example of Beckwith's syndrome with both prenatal and postnatal organ overgrowth, severe hypoglycemia and hyperinsulinism.

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