Aldosari Sarah, Altalhi Bassam, Albisher Nesreen, Mohammed Shamayel, Alhazmi Alaa, Alsobhi Saif
Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Department of Surgery, Almoosa Specialist Hospital, Alahsa, Saudi Arabia.
J Surg Case Rep. 2023 May 19;2023(5):rjad248. doi: 10.1093/jscr/rjad248. eCollection 2023 May.
Adrenal incidentaloma (AI) is an incidental detection of an adrenal mass on an image not performed for a suspected adrenal problem. AI has become a commonly encountered lesion that requires further investigations for evidence of hormonal hypersecretion or malignancy potential. According to guidelines, surgical intervention is the standard of care for unilateral AI. We report on a case of a 64-year-old female who presented with a nonfunctional adrenal mass associated with compressive symptoms, which was revealed to be a mixed hyaline vascular and plasma cell variant Castleman disease (CD) after surgical resection. Although hyaline vascular variant and plasma cell variant of CD has been identified in adrenal glands, this is the first report of a mixed hyaline vascular and plasma cell variant in an adrenal mass.
肾上腺偶发瘤（AI）是指在并非因怀疑肾上腺问题而进行的影像学检查中偶然发现的肾上腺肿块。AI已成为一种常见病变，需要进一步检查以寻找激素分泌过多或潜在恶性肿瘤的证据。根据指南，手术干预是单侧AI的标准治疗方法。我们报告了一例64岁女性患者，其表现为伴有压迫症状的无功能肾上腺肿块，手术切除后发现是透明血管和浆细胞混合变异型Castleman病（CD）。尽管在肾上腺中已鉴定出CD的透明血管变异型和浆细胞变异型，但这是肾上腺肿块中透明血管和浆细胞混合变异型的首例报告。
