Ueda Takayuki, Yanagi Masato, Kusakabe Takashi, Shigihara Takeshi, Shibasaki Mikio, Nagasawa Masato, Hamasaki Tsutomu, Kondo Yukihiro
Department of Urology Aidu Chuo Hospital Aizuwakamatsu-City Fukushima Japan.
Department of Urology Nippon Medical School Hospital Bunkyo-ku Tokyo Japan.
IJU Case Rep. 2024 Jul 9;7(5):379-382. doi: 10.1002/iju5.12760. eCollection 2024 Sep.
We describe a case of an adrenal cavernous hemangioma that was surgically resected because of tumor growth and intratumoral hemorrhage.
A 73-year-old woman presented with an enlarged adrenal tumor and intratumoral hemorrhage during the follow-up of an incidental adrenal tumor. A computed tomography showed that the left adrenal tumor had grown from 23 to 44 mm over 1 year. Blood tests revealed a normal metabolic profile. Paragangliomas and metastatic tumors were suspected on imaging. Laparoscopic adrenalectomy was performed to prevent tumor rupture due to further bleeding. No adhesions or bleeding were observed around the tumor during surgery. Pathological diagnosis was adrenal cavernous hemangioma.
Adrenal cavernous hemangioma is difficult to distinguish preoperatively from other adrenal tumors, including malignant tumors. The intraoperative findings of this case suggest that laparoscopic adrenalectomy is a safe treatment option for relatively small adrenal cavernous hemangioma.
我们描述了一例肾上腺海绵状血管瘤病例，该病例因肿瘤生长和瘤内出血而接受手术切除。
一名73岁女性在偶然发现肾上腺肿瘤的随访过程中，出现肾上腺肿瘤增大及瘤内出血。计算机断层扫描显示，左侧肾上腺肿瘤在1年内从23毫米增长至44毫米。血液检查显示代谢指标正常。影像学检查怀疑为副神经节瘤和转移性肿瘤。为防止因进一步出血导致肿瘤破裂，实施了腹腔镜肾上腺切除术。手术过程中未观察到肿瘤周围有粘连或出血。病理诊断为肾上腺海绵状血管瘤。
肾上腺海绵状血管瘤术前难以与其他肾上腺肿瘤（包括恶性肿瘤）相鉴别。该病例的术中发现表明，腹腔镜肾上腺切除术是相对较小肾上腺海绵状血管瘤的一种安全治疗选择。
