Ganglioneuroma manifesting as an incidental adrenal mass in an adult with Turner's syndrome.
OBJECTIVE
To report a case of ganglioneuroma masquerading as an incidental adrenal mass in an adult patient with Turner's syndrome.


METHODS
We present the clinical, laboratory, radiologic, and pathologic findings in this patient.


RESULTS
A 31-year-old woman with Turner's syndrome who had previously been treated with growth hormone replacement had an incidentally discovered mass, apparently arising from the left adrenal gland. The mass was "silent" clinically and biochemically, but imaging characteristics were not reassuring for a benign cortical adenoma. Because of uncertainty regarding the nature of the mass, it was removed laparoscopically; during this procedure, it was noted to be intimately associated with, but anatomically distinct from, the left adrenal gland. The pathology report confirmed the presence of a benign ganglioneuroma.


CONCLUSIONS
Although ganglioneuroma has previously been noted to be associated with Turner's syndrome (especially in pediatric patients), to the best of our knowledge this is the first report of a ganglioneuroma manifesting as an incidental adrenal mass in an adult patient with Turner's syndrome.
Stasik
Chad N
CN
University of Michigan Medical School, University of Michigan, Ann Arbor, MI 48109, USA.
Giordano
Thomas J
TJ
Gauger
Paul G
PG
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D005260:Female; D005729:Ganglioneuroma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D014057:Tomography, X-Ray Computed; D014424:Turner Syndrome / Q000150:complications*