伪装成肾上极肿块的大结节性肾上腺增生。

Macronodular adrenal hyperplasia masquerading as an upper pole renal mass.

作者信息

Owens-Walton Jeunice, Gurram Sandeep, Merino Maria J, Linehan W Marston, Ball Mark W

机构信息

Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

出版信息

Urol Case Rep. 2021 Feb 12;37:101603. doi: 10.1016/j.eucr.2021.101603. eCollection 2021 Jul.

DOI:10.1016/j.eucr.2021.101603

PMID:33665124

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7900682/

Abstract

Macronodular hyperplasia (MAH) of the adrenal gland is a rare disease usually presenting with Cushing Syndrome. Although usually readily apparent on imaging, an adrenal tumor in an asymptomatic patient may be mistaken for a renal tumor. We present a patient with combined macro- and micro-nodular adrenal hyperplasia masquerading as an upper pole renal mass. The patient underwent a robotic partial nephrectomy and partial adrenalectomy without complication.

摘要

肾上腺大结节性增生（MAH）是一种罕见疾病，通常表现为库欣综合征。尽管在影像学检查中通常很容易发现，但无症状患者的肾上腺肿瘤可能会被误诊为肾肿瘤。我们报告一例患者，其肾上腺大结节和小结节混合增生伪装成肾上极肿物。该患者接受了机器人辅助下部分肾切除术和部分肾上腺切除术，术后无并发症。