Clinic of Endocrinology, Diabetology and Internal Medicine, University of Warmia and Mazury, Olsztyn, Poland.
Endokrynol Pol. 2012;63(4):308-11.
Adrenocortical oncocytoma is found very rarely. Most such tumours are benign and nonfunctioning. We report the case of a nonfunctioning adrenocortical oncocytoma located in the right adrenal gland in a 35-year-old man. The patient was tested because of arrhythmia. An adrenal mass of 68 × 64 mm was found during ultrasonography, followed by CT examination. Physical examination indicated obesity with BMI of 32.8 kg/m(2). Abnormal laboratory findings based on an oral glucose tolerance test revealed impaired glucose tolerance and elevated cholesterol level. The patient underwent a laparotomy for a pathological mass located in the right adrenal gland. The pathology report confirmed adrenocortical oncocytoma of uncertain malignant potential. The patient is still alive with no metastases, 37 months after the surgery. Adrenocortical oncocytoma, although extremely rare, should be considered in the differential diagnosis of adrenal tumours.
肾上腺皮质嗜酸细胞瘤非常罕见。大多数此类肿瘤为良性且无功能。我们报告了一例 35 岁男性右侧肾上腺无功能性肾上腺皮质嗜酸细胞瘤病例。该患者因心律失常而接受检查。超声检查发现 68×64mm 的肾上腺肿块，随后进行 CT 检查。体格检查显示肥胖，BMI 为 32.8kg/m²。口服葡萄糖耐量试验的异常实验室结果显示糖耐量受损和胆固醇水平升高。患者因位于右侧肾上腺的病理肿块而行剖腹手术。病理报告证实为恶性潜能不确定的肾上腺皮质嗜酸细胞瘤。手术后 37 个月，患者仍无转移且存活。虽然肾上腺皮质嗜酸细胞瘤极为罕见，但在肾上腺肿瘤的鉴别诊断中应考虑到这一疾病。
