Bhattacharya Sumanta, Kumar Ankit, Chatterjee Uttara, Pal Dilip K
Department of Pathology, IPGME and R, Kolkata, West Bengal, India.
Department of Urology, IPGME and R, Kolkata, West Bengal, India.
Indian J Pathol Microbiol. 2021 Apr-Jun;64(2):379-381. doi: 10.4103/IJPM.IJPM_526_20.
WHO classification of adrenal tumors. Only a handful of cases have been reported so far. A 30-year-old lady presented with cerebrovascular accident. CT scans of the abdomen and pelvis revealed a 3.5-cm well-defined, smooth margined, heterogeneously enhancing, mass lesion in the right adrenal gland. She had no endocrine symptoms and urinary metanephnines were normal. She underwent right adrenalectomy for incidentaloma. Histopathology of the excised mass showed features of an adrenal schwannoma. Diagnosis of adrenal schwannoma on imaging studies is difficult preoperatively and raises suspicion of other adrenal tumors. Surgical excision followed by histopathology confirms the diagnosis.
世界卫生组织肾上腺肿瘤分类。迄今为止仅报告了少数病例。一名30岁女性出现脑血管意外。腹部和盆腔CT扫描显示右肾上腺有一个3.5厘米边界清晰、边缘光滑、强化不均匀的肿块病变。她没有内分泌症状，尿间甲肾上腺素正常。她因偶发瘤接受了右肾上腺切除术。切除肿块的组织病理学显示为肾上腺神经鞘瘤特征。术前通过影像学研究诊断肾上腺神经鞘瘤很困难，容易怀疑为其他肾上腺肿瘤。手术切除后进行组织病理学检查可确诊。
