Mindiola-Romero Andres E, Seigne John D, Ornstein Deborah L
Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Department of Surgery, Urology Section, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Urol Case Rep. 2021 Jan 26;36:101583. doi: 10.1016/j.eucr.2021.101583. eCollection 2021 May.
Adrenal masses are commonly found on radiographic studies performed for unrelated reasons. We report on a case of a non-functioning adrenal mass from which a needle biopsy showed a nonspecific infiltrate of polyclonal plasma cells and small lymphocytes. A definitive diagnosis of the plasma cell variant of Castleman lymphadenopathy was made only after surgical excision. While the hyaline vascular variant of Castleman lymphadenopathy has been identified in adrenal glands, this is the first report of the plasma cell variant in an adrenal mass. This case particularly underscores the importance of an excisional biopsy for proper diagnosis.
肾上腺肿块通常在因无关原因进行的影像学检查中被发现。我们报告一例无功能肾上腺肿块病例，针吸活检显示多克隆浆细胞和小淋巴细胞的非特异性浸润。仅在手术切除后才确诊为Castleman淋巴结病的浆细胞变异型。虽然Castleman淋巴结病的透明血管变异型已在肾上腺中被发现，但这是肾上腺肿块中浆细胞变异型的首例报告。该病例特别强调了切除活检对于正确诊断的重要性。
