Mudalegundi Shwetha, Griggs-Demmin Angelica, Haney Nora M, Singla Nirmish
Department of Urology at the Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Urol Case Rep. 2022 Aug 11;45:102181. doi: 10.1016/j.eucr.2022.102181. eCollection 2022 Nov.
A 23-year-old man was incidentally diagnosed on CT scan with a 6.4 cm right adrenal mass during workup for acute abdominal pain, with interval growth to 9.4 cm over 3 months. Given the mass size and concern for potential malignancy, a right open adrenalectomy was performed. Pathologic evaluation confirmed a diagnosis of adrenal ganglioneuroma (AG) and the patient exhibited an unremarkable postoperative course. AGs are rare, benign tumors of the adrenal gland. Diagnosis is made by histopathologic assessment, and management of larger AGs is nearly always surgical given radiographic similarities between AG and malignancy. Adrenalectomy is generally curative for AG.
一名23岁男性在因急性腹痛进行检查时，CT扫描偶然发现右侧肾上腺有一个6.4厘米的肿块，3个月内增大至9.4厘米。鉴于肿块大小以及对潜在恶性肿瘤的担忧，实施了右侧开放性肾上腺切除术。病理评估确诊为肾上腺神经节细胞瘤（AG），患者术后恢复过程顺利。AG是肾上腺罕见的良性肿瘤。通过组织病理学评估进行诊断，鉴于AG与恶性肿瘤在影像学上有相似之处，较大的AG几乎总是采用手术治疗。肾上腺切除术通常可治愈AG。
