Ranjan Rohit, Mittal Ankur, Ranjan Satish Kumar, Panwar Vikas, Talwar Harkirat Singh
Department of Urology, All India Institute of Medical Science, Rishikesh, Uttarakhand, India.
J Minim Access Surg. 2021 Jul-Sep;17(3):389-391. doi: 10.4103/jmas.JMAS_147_20.
Adrenal ganglioneuromas (GNs) are very rare tumours that originate from neural crest cells. Most of the time, they are diagnosed incidentally as they are usually non-functional and remain asymptomatic. Nowadays, they are being detected more often due to better availability of imaging facilities such as computed tomography (CT)/magnetic resonance imaging (MRI). Minimally invasive adrenalectomy (laparoscopic or robotic) remains the standard of care for such lesions. Hereby, we report a case of a 15-year-old young girl with right adrenal incidentaloma which was diagnosed on CT with the features suggestive of GN. She underwent robot-assisted excision of the mass with adrenal-sparing surgery. Histopathology revealed benign GN and no adjuvant treatment was required. As GN is not known for recurrence or metastasis, minimal invasive adrenal-sparing surgery should be a preferred modality of choice.
肾上腺神经节细胞瘤（GNs）是非常罕见的起源于神经嵴细胞的肿瘤。大多数情况下，它们是在偶然情况下被诊断出来的，因为它们通常无功能且无症状。如今，由于诸如计算机断层扫描（CT）/磁共振成像（MRI）等成像设备的更广泛应用，它们被发现的频率更高。微创肾上腺切除术（腹腔镜或机器人辅助）仍然是这类病变的标准治疗方法。在此，我们报告一例15岁年轻女孩，其右肾上腺意外瘤在CT上被诊断出具有提示GN的特征。她接受了机器人辅助的肿物切除并保留肾上腺手术。组织病理学显示为良性GN，无需辅助治疗。由于GN不会复发或转移，微创保留肾上腺手术应是首选的治疗方式。
