Lavingia Kedar, Torabi Ramyar, Kim Samuel W, Hughes Marybeth S, Feliberti Eric C, Perry Roger R
Division of Surgical Oncology, Department of Surgery, Eastern Virginia Medical School, 825 Fairfax Ave, Norfolk VA 23507, USA.
Case Rep Surg. 2018 Jun 7;2018:9607972. doi: 10.1155/2018/9607972. eCollection 2018.
We present a case of an adrenal hemangioma, an uncommon cause of an adrenal mass, and review the clinical presentation, work-up, and management of adrenal incidentalomas.
A 64-year-old male was found to have a right adrenal incidentaloma during work-up for elevated liver transaminase levels, later found to be from hepatitis C. The mass was suspicious for adrenocortical carcinoma on CT imaging. Biochemical evaluation revealed no evidence of function. He underwent an open right adrenalectomy. The mass was found to be an adrenal hemangioma on histopathologic analysis.
This is a case report with pertinent review of the diagnosis and management of adrenal incidentalomas.
Adrenal hemangiomas are rare, benign, nonfunctional tumors typically found during imaging for other reasons. As illustrated by this case, they appear similar to adrenocortical carcinoma on CT imaging. The diagnosis is usually not made prior to surgical resection.
Adrenal hemangioma is a rare nonfunctional adrenal incidentaloma that displays atypical features on CT imaging. The suspicion for adrenocortical carcinoma usually prompts adrenalectomy.
我们报告一例肾上腺血管瘤病例，肾上腺血管瘤是肾上腺肿块的一种罕见病因，并对肾上腺偶发瘤的临床表现、检查及处理进行综述。
一名64岁男性在因丙型肝炎导致肝转氨酶水平升高而进行检查时发现右肾上腺偶发瘤，CT成像显示该肿块疑似肾上腺皮质癌。生化评估未发现功能异常证据。他接受了开放性右肾上腺切除术。组织病理学分析显示该肿块为肾上腺血管瘤。
这是一例病例报告，并对肾上腺偶发瘤的诊断和处理进行相关综述。
肾上腺血管瘤罕见，为良性、无功能肿瘤，通常在因其他原因进行影像学检查时发现。如本病例所示，它们在CT成像上与肾上腺皮质癌相似。通常在手术切除前无法确诊。
肾上腺血管瘤是一种罕见的无功能肾上腺偶发瘤，在CT成像上表现出非典型特征。对肾上腺皮质癌的怀疑通常会促使进行肾上腺切除术。
