Department of Urology, Lahore General Hospital, Lahore, Pakistan.
Department of Medicine, Fatima Memorial Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2023 Aug;73(8):1726-1728. doi: 10.47391/JPMA.7310.
The Schwannoma is a benign growth of the nerve sheath cells most commonly seen in the vestibulocochlear nerve. Its prevalence in the adrenal gland is 1-3%. Here we discuss a case that presented as an incidentaloma of the right adrenal gland in a young male patient who had vague abdominal symptoms and a normal hormonal profile. He underwent an excisional biopsy of the right adrenal gland due to the large size of the lesion (more than 4cm). The histopathology report helped to establish the diagnosis of Schwannoma. Incidentaloma is defined as a lesion of the adrenal gland encountered on any radiological investigation carried out for symptoms that are not associated with adrenal pathologies. After discovering such lesions, it is imperative to perform radiological and hormonal investigations in an organised manner to plan further management of such cases.
神经鞘瘤是一种良性的神经鞘细胞肿瘤,最常见于前庭耳蜗神经。其在肾上腺中的发生率为 1-3%。本文讨论了 1 例发生于年轻男性患者右侧肾上腺的意外瘤,该患者有模糊的腹部症状和正常的激素谱。由于病变较大(超过 4cm),他接受了右侧肾上腺切除术活检。组织病理学报告有助于确立神经鞘瘤的诊断。意外瘤是指在因与肾上腺病变无关的症状而进行的任何影像学检查中发现的肾上腺病变。发现此类病变后,必须有组织地进行影像学和激素检查,以计划此类病例的进一步治疗。