Schlittler Luis Alberto, Dallagasperina Viviane Weiller, Carlotto Jorge Roberto Marcante, Vilarroel Rodrigo Ughini, Lazaretti Nícolas Silva
Departamento de Oncologia, Hospital da Cidade de Passo Fundo Rua Tiradentes, 295 - Passo Fundo/RS - Cep 99010-260 Brasil.
Cases J. 2009 Aug 12;2:7351. doi: 10.4076/1757-1626-2-7351.
The adrenal cyst is a rare disease that represents approximately 5% of discovered adrenal lesions, which are usually discovered incidentally. True adrenal cysts originate to cells from mesothelium. The potential of cyst adrenal to become malignant has been reported to be 7% and a radical excision of a potentially malignant mass are indicate. We report a case of a 48 year old woman that presented with pain in left hypochondrium and epigastrium, nausea, vomiting, weight loss and microscopic hematuria. After the diagnosis suspicion surgery was performed with a monoblock resection of left kidney and left adrenal gland because of kidney cancer diagnosis as considered. The microscopically analysis of surgical specimen, diagnosed a true epithelial cyst of adrenal gland.
肾上腺囊肿是一种罕见疾病，约占已发现肾上腺病变的5%，通常为偶然发现。真性肾上腺囊肿起源于间皮细胞。据报道，肾上腺囊肿恶变的可能性为7%，对于潜在恶性肿块需行根治性切除。我们报告一例48岁女性患者，表现为左季肋部和上腹部疼痛、恶心、呕吐、体重减轻及镜下血尿。因考虑诊断为肾癌，故行手术，术中将左肾和左肾上腺整块切除。手术标本的显微镜检查诊断为肾上腺真性上皮囊肿。
