title: Large adrenal ganglioneuroma.
abstract: We herein report the case of a 41-year-old male patient with an incidentally identified large adrenal ganglioneuroma (GN). His endocrine examinations were normal except for one episode of elevated urinary dopamine and noradrenaline levels. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a large solid tumor with calcifications and a slightly lobular edge in the right adrenal gland. We performed open tumor excision and diagnosed it as adrenal ganglioneuroma. Adrenal GN is a rare benign tumor, and its hormonal activity and imaging characteristics are occasionally very similar to those of other adrenal tumors. Therefore, it needs careful evaluation by endocrine examinations and multiple imaging procedures to rule out other types of tumors.
authors.affiliation: Department of Metabolic Medicine, Osaka University Graduate School of Medicine, Japan.
authors.forename: Shugo
authors.initials: S
authors.lastname: Sasaki
authors.forename: Tetsuyuki
authors.initials: T
authors.lastname: Yasuda
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kaneto
authors.forename: Michio
authors.initials: M
authors.lastname: Otsuki
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Tabuchi
authors.forename: Yukari
authors.initials: Y
authors.lastname: Fujita
authors.forename: Fumiyo
authors.initials: F
authors.lastname: Kubo
authors.forename: Mayumi
authors.initials: M
authors.lastname: Tsuji
authors.forename: Keiko
authors.initials: K
authors.lastname: Fujisawa
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kasami
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Kitamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Miyatsuka
authors.forename: Naoto
authors.initials: N
authors.lastname: Katakami
authors.forename: Dan
authors.initials: D
authors.lastname: Kawamori
authors.forename: Taka-Aki
authors.initials: TA
authors.lastname: Matsuoka
authors.forename: Akihisa
authors.initials: A
authors.lastname: Imagawa
authors.forename: Iichiro
authors.initials: I
authors.lastname: Shimomura
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D000328:Adult; D014408:Biomarkers, Tumor / Q000652:urine; D004298:Dopamine / Q000652:urine; D005729:Ganglioneuroma / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D009638:Norepinephrine / Q000652:urine; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor; D004298:Dopamine; D009638:Norepinephrine