Elazime Zineb, Elazizi Lamiaa, Aynaou Hayat, Salhi Houda, Elouahabi Hanan
Department of Endocrinology, Diabetology, Metabolic Diseases and Nutrition, Hassan II University Hospital Center, Fez, MAR.
Cureus. 2023 Jan 11;15(1):e33638. doi: 10.7759/cureus.33638. eCollection 2023 Jan.
Oncocytic cell neoplasms are usually found in the thyroid or salivary glands and the kidneys. Adrenal oncocytoma (AO) is an extremely rare localization. It is often non-functional and the suspicion of malignancy is considered when the size of an adrenal incidentaloma is greater than 4 cm. These adrenal oncocytomas, however, are large, round, and encapsulated with a benign presentation and evolution. We report on a 40-year-old male patient. Upon suspicion of a SARS-CoV-2 infection, the general physician instructed a chest CT scan, which, fortuitously, revealed a suspicious left adrenal lesion measuring 62x45mm. A biochemical investigation was negative for either pheochromocytoma or Cushing's syndrome, allowing the recommended surgery to be performed. The anatomopathological analysis showed an uncommon benign adrenal lesion, an adrenal oncocytoma.
嗜酸性细胞瘤通常见于甲状腺、唾液腺和肾脏。肾上腺嗜酸性细胞瘤(AO)的定位极为罕见。它通常无功能,当肾上腺意外瘤大小大于4cm时,需考虑恶性的可能性。然而,这些肾上腺嗜酸性细胞瘤体积大、呈圆形且有包膜,表现为良性且病程发展平稳。我们报告一例40岁男性患者。因怀疑感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2),全科医生安排了胸部CT扫描,偶然发现左肾上腺有一个可疑病变,大小为62×45mm。生化检查排除了嗜铬细胞瘤或库欣综合征,遂进行了建议的手术。解剖病理学分析显示为一种罕见的肾上腺良性病变——肾上腺嗜酸性细胞瘤。