怀疑为肾上腺癌的罕见肾上腺皮质瘤1例报告。

TouchREVIEWS in endocrinology Pub Date : 2021-04-01 Epub Date: 2021-04-28 DOI:10.17925/EE.2021.17.1.71
Inês Isabel Ferreira Barros, Fernando Manso, Margarida Teixeira, Maria Ramires Silva Lopes Pereira
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引用次数: 2

摘要

肾上腺嗜酸细胞肿瘤是一种极为罕见的由肾上腺引起的肿瘤,在肾上腺偶发瘤的鉴别诊断中应考虑它,因为它经常不起作用。当肾上腺偶发瘤的大小>4cm时,恶性肿瘤的怀疑度很高;然而,肾上腺嗜酸细胞瘤体积大,平均8厘米,呈圆形和包膜,通常具有良性行为。我们报告一例55岁男性患者,患有血脂异常,服用辛伐他汀。在抱怨腹痛后,普通医生要求进行腹部超声检查,发现肾上腺病变,并通过计算机断层扫描进行进一步表征,显示肾上腺病变尺寸为49×64×56 mm,并有钙化灶。病人被转诊到普通外科和内分泌科。分析研究对嗜铬细胞瘤或库欣综合征呈阴性,因此可以按照建议进行手术。本病例报告的目的是增加对肾上腺嗜酸细胞瘤的了解,因为基于单一经验的信息很少。
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Case Report of a Rare Adrenocortical Oncocytoma Suspected to be an Adrenal Carcinoma.

An adrenal oncocytic neoplasm is an extremely rare tumour arising from the adrenal gland and it should be considered in the differential diagnosis of an adrenal incidentaloma, since it is frequently non-functioning. The suspicion for malignancy is high when an adrenal incidentaloma is >4 cm in size; however, adrenal oncocytomas are large, measuring an average of 8 cm, are round and encapsulated, and normally have a benign behaviour. We present a case of a 55-year-old male patient with dyslipidaemia, medicated with simvastatin. Upon complaints of abdominal pain, the general physician asked for an abdominal ultrasound that revealed an adrenal lesion, further characterized with a computed tomography scan, which showed an adrenal lesion measuring 49 × 64 × 56 mm and a calcification focus. The patient was referred to the general surgery and endocrinology department. The analytical study was negative for pheochromocytoma or Cushing's syndrome, which allowed surgery to be conducted, as is recommended. The aim of this case report is to contribute to the knowledge on adrenal oncocytomas, since there is scarce information based on singular experiences.

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