title: Adrenal tuberculosis mimicking a malignancy by direct hepatic invasion: emphasis on adrenohepatic fusion as the potential route.
abstract: A 64-year-old female with primary adrenal insufficiency presented with a right adrenal mass showing quantitative nonadenoma features on dedicated adrenal computed tomography (CT). CT showed direct invasion of the mass to the adjacent hepatic parenchyma, and high uptake was noted on 18F-fluorodeoxyglucose positron emission tomography/CT. Laparoscopy revealed gross invasion of the adrenal lesion into the liver, which led to the en bloc resection including the involved liver. Polymerase chain reaction analysis of the surgical specimen revealed adrenal tuberculosis.
authors.affiliation: Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine.
authors.forename: Yeun Yoon
authors.initials: YY
authors.lastname: Kim
authors.affiliation: Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine. Electronic address: yoonio@yuhs.ac.
authors.forename: Sung Yoon
authors.initials: SY
authors.lastname: Park
authors.affiliation: Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine.
authors.forename: Young Taik
authors.initials: YT
authors.lastname: Oh
authors.affiliation: Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine.
authors.forename: Dae Chul
authors.initials: DC
authors.lastname: Jung
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis; D000311:Adrenal Glands / Q000382:microbiology* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D004269:DNA, Bacterial / Q000032:analysis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008113:Liver Neoplasms / Q000175:diagnosis; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification*; D049268:Positron-Emission Tomography / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014383:Tuberculosis, Endocrine / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery
chemical_list: D004269:DNA, Bacterial
keywords: Adrenal tuberculosis; Adrenohepatic fusion; Computed tomography; Hepatic invasion