Adrenal ganglioneuroma.
Adrenal incidentalomas (AI) are unsuspected adrenal masses discovered during investigation of unrelated diseases, and are increasing in frequency. The majority of the AI is non-secretory adenomas, although it can also represent primary or metastatic malignant neoplasia. However, less frequent diseases should not be forgotten in the differential diagnosis. We describe a case of a young woman with an adrenal mass without clinical or laboratorial signs of hormonal hyperfunction. Diagnosis was performed after an episode of acute pyelonephritis in which the imaging study was carried out in order to exclude local complications. During the surgical procedure, the fish flesh aspect of the mass raised the suspicion of a neurogenic tumor, which was diagnosed in the histophatological analysis. The patient presented the most common manifestation of adrenal ganglioneuroma, an incidentaloma.
Medical Service of Endocrinology, University Hospital Clementino Fraga Filho, Universidade Federal Rio de Janeiro, Brazil. betatarantino@yahoo.com.br
Roberta Magalhães
RM
Tarantino
Adriano Machado de
AM
Lacerda
Silvio Henriques da
SH
Cunha Neto
Alice Helena Dutra
AH
Violante
Mário
M
Vaisman
D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005729:Ganglioneuroma / Q000473:pathology*; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D055815:Young Adult