Qureshi Abdul Hafeez, Junejo Noor Nabi, Siddiqui Khurram, Zaidi Syed Zafar
Department of Urology, The Indus Hospital, Karachi.
J Coll Physicians Surg Pak. 2014 Dec;24(12):947-8.
Adrenocortical oncocytoma is an exceedingly rare pathological variant of an adrenal neoplasm. The pathogenesis of oncocytic neoplasms is poorly understood. Females have been reported to be affected 2.5 times more frequently than males, and left-sided lesions are more common than those on right side. This case describes a 20 years old female with right lumbar pain. She found to have a right adrenal gland mass measuring about 6 x 5 cm. A computed tomogram showed hypodense mass lesion 6 x 4.2 cm involving right adrenal gland. Differential diagnosis of non-functional adrenal adenoma was made. A laparoscopic right adrenalectomy was performed using the 3-ports lateral transperitoneal approach. Histopathology showed adrenocortical oncocytoma of adrenal gland.
肾上腺皮质嗜酸性细胞瘤是肾上腺肿瘤中一种极其罕见的病理变异类型。嗜酸性细胞瘤的发病机制尚不清楚。据报道，女性受影响的频率是男性的2.5倍，左侧病变比右侧更常见。本病例描述了一名20岁的右侧腰痛女性。她被发现右侧肾上腺有一个约6×5厘米的肿块。计算机断层扫描显示一个6×4.2厘米的低密度肿块病变累及右侧肾上腺。做出了无功能肾上腺腺瘤的鉴别诊断。采用三孔侧方经腹途径进行了腹腔镜右侧肾上腺切除术。组织病理学显示为肾上腺皮质嗜酸性细胞瘤。
