title: Adrenal epithelial cyst: a case report.
abstract: Epithelial-lined or true cysts of the adrenal gland are exceedingly rare accounting for only 9% of all adrenal cysts. A 55-year-old woman with a medical history for cholecystectomy and liver hydatidosis presented with an 8-month history of abdominal pain in the upper left quadrant. Physical examination was unremarkable and laboratory tests were within normal range. Computed tomography displayed a homogeneous and finely calcified cystic mass of the left adrenal gland measuring 12 x 10 cm. A hydatid cyst of the adrenal gland was suspected preoperatively and the patient underwent uneventful excision of the cyst. Histological examination of the surgical specimen revealed that the cyst wall was lined by cuboidal to flattened cells with bland cytologic features. Immuohistochemically, the cyst lining expressed intensely cytokeratin but was negative for CD 34 and calretinin. The final pathological diagnosis was epithelial adrenal cyst.
authors.affiliation: Department of Pathology, Mongi Slim Hospital, Sidi Daoued La Marsa (2046), Tunisia. fatenlimaiem@yahoo.fr
authors.forename: F
authors.initials: F
authors.lastname: Limaiem
authors.forename: S
authors.initials: S
authors.lastname: Korbi
authors.forename: S
authors.initials: S
authors.lastname: Jedidi
authors.forename: S
authors.initials: S
authors.lastname: Aloui
authors.forename: F
authors.initials: F
authors.lastname: Hassan
authors.forename: N
authors.initials: N
authors.lastname: Arfa
authors.forename: A
authors.initials: A
authors.lastname: Lahmar
authors.forename: S
authors.initials: S
authors.lastname: Bouraoui
authors.forename: S
authors.initials: S
authors.lastname: Mzabi
mesh_terms: D000307:Adrenal Gland Diseases / Q000473:pathology*; D001706:Biopsy; D003560:Cysts / Q000473:pathology*; D004847:Epithelial Cells / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged