True adrenal mesothelial cyst in a patient with flank pain and hematuria: a case report.
True mesothelial (epithelial) cysts in the adrenal gland are rare lesions. They represent 9% of adrenal cysts and are much less common than vascular adrenal cysts. We report a case of a true adrenal mesothelial cyst in a patient with flank pain and hematuria that was diagnosed on imaging as a renal cyst. Immunohistochemical studies were performed to investigate the nature of the cyst lining. The positive immunostains for calretinin and WT-1 lend support to the postulate of Medeiros et al nearly 20 years ago of a mesothelial origin for these cysts. The clinical presentation and salient radiologic and pathologic features are described.
Suh
James
J
Department of Pathology, State University of New York, Stony Brook, Stony Brook, NY, USA. jhsuh@notes.cc.sunysb.edu
Heimann
Alan
A
Cohen
Harris
H
D000307:Adrenal Gland Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000315:Adrenalectomy; D064032:Calbindin 2; D003560:Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery; D004848:Epithelium / Q000473:pathology; D021501:Flank Pain / Q000209:etiology*; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D007150:Immunohistochemistry; D007417:Intestinal Polyps / Q000150:complications; D008297:Male; D008875:Middle Aged; D064030:S100 Calcium Binding Protein G / Q000096:biosynthesis; D020181:Sleep Apnea, Obstructive / Q000150:complications; D012907:Smoking
C576764:CALB2 protein, human; D064032:Calbindin 2; D064030:S100 Calcium Binding Protein G