Qi HF, Chen LQ, Yang MQ, Li XF, Zhang HN, Zhang KX, Xu HT. Primary adenomatoid tumor of the adrenal gland: A case report and literature review.
Medicine (Baltimore) 2023;
102:e36739. [PMID:
38115250 PMCID:
PMC10727588 DOI:
10.1097/md.0000000000036739]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 11/30/2023] [Indexed: 12/21/2023] Open
Abstract
RATIONALE
Adenomatoid tumors are rare benign tumors, mainly involving the reproductive tract, such as the epididymis in men and the uterus and fallopian tubes in women. However, a few cases can occur outside the reproductive tract. Herein, we report a rare case of a primary adenomatoid tumor of the adrenal gland.
PATIENT CONCERNS
A 50-year-old man underwent ultrasound examination and was found to have a right adrenal mass without elevated blood pressure, weakness after fatigue, frequent nocturnal urination urgency, pain, or a history of hematuria. The patient's general health was normal. Computed tomography revealed a polycystic mixed-density lesion in the right adrenal region, approximately 7.3 × 4.5 cm in size.
DIAGNOSES
Based on the clinical information, morphological features, and immunohistochemistry results, a pathological diagnosis of primary adenomatoid tumor of the adrenal gland was made.
INTERVENTION
Excision of the right adrenal gland and tumor through the 11 ribs.
OUTCOMES
The patient's postoperative course was uneventful.
LESSONS
Preventing misdiagnosis adenomatoid tumors with other types of adrenal gland tumors or metastatic tumors is imperative. Morphological and immunohistochemical features can help diagnose primary adenomatoid tumors of the adrenal gland.
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