Bilateral Adrenal Leiomyomas in a Pediatric Patient.

JCEM case reports Pub Date : 2025-03-07 eCollection Date: 2025-03-01 DOI:10.1210/jcemcr/luaf029
Ricardo A Caravantes, Miranda Matzer, Mischelle Lopez, Kevin D Santizo, Brígida Hernandez, Isabella Santamarina
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Abstract

Adrenal leiomyomas are rare, benign tumors originating in the adrenal glands. They have a varied age of presentation, occur with a slight female predominance, and are typically unilateral, although bilateral cases can occur. Symptoms typically include abdominal or flank pain. This report presents a rare case of an 11-year-old male with disseminated molluscum contagiosum, diagnosed with bilateral adrenal leiomyomas. Imaging revealed large, heterogeneous adrenal masses, and the patient underwent successful adrenalectomy. This case underscores the rarity of adrenal leiomyomas in the pediatric population and highlights the critical role of imaging and surgical intervention in their management.

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小儿双侧肾上腺平滑肌瘤1例。
肾上腺平滑肌瘤是一种罕见的良性肿瘤,起源于肾上腺。它们有不同的表现年龄,以轻微的女性为主,通常是单侧的,尽管双侧病例也可能发生。典型症状包括腹部或腹部疼痛。本文报告一例罕见的11岁男性弥散性传染性软疣,诊断为双侧肾上腺平滑肌瘤。影像显示大的,不均匀的肾上腺肿块,病人接受了成功的肾上腺切除术。本病例强调了肾上腺平滑肌瘤在儿科人群中的罕见性,并强调了成像和手术干预在其管理中的关键作用。
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