Adrenal Incidentaloma, What could it be?

Ramos C*, Santos V, Causi T, Samúdio MJ, Girão J, Rocha J and Miranda L

Department of General Surgery, Centro Hospitalar Universitário Lisboa Norte, Portugal

^*Correspondance to: Carlota Ramos 

 PDF  Full Text DOI: 10.25107/2474-1647.3617

Abstract

Adrenal lesions discovered during imaging and performed for unrelated reasons are referred to as incidentalomas. There is a vast number of adrenal incidentalomas. When the use of ultrasound and CT scanners became more prevalent, the rate of incidentalomas diagnosed rise exponentially, thus turning its management a common clinical problem. This management involves the identification of lesions that are potentially malignant or harmful due to excessive hormonal secretion. The priority aspect is to distinguish the subset of adrenal masses that are likely to have a clinical impact from the large portion that are not. These cases imply the distinction between benign or malignant lesions, and the functioning or non-functioning state of the lesions. We describe a case of a 37-year-old man, presenting with right lumbar pain and fatigue. Abdominal Computed Tomography (CT) identified a lesion in the right adrenal gland with 98 mm × 94 mm × 53 mm and a lipomatous aspect. The case was presented in a multidisciplinary meeting, and a laparoscopic right adrenalectomy was decided to be performed. Histological results revealed an adrenal myelolipoma. Adrenal myelolipomas are rare and benign tumors composed by an admixture of adipose tissue and extra-medullary hematopoietic elements, which affect predominantly the adrenal gland. In most cases, treatment is not necessary, however surgery has an important role for symptomatic cases and lesions that cannot be reliably distinguished. Treatment and management should be tailored to each patient.

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Cite the article

Ramos C, Santos V, Causi T, Samúdio MJ, Girão J, Rocha J, et al. Adrenal Incidentaloma, What could it be?. Clin Surg. 2023; 8: 3617..