Adrenal Cysts: An Institutional Experience

Pradeep, P. V.; Mishra, Anand; Aggarwal, Vivek; Bhargav, Panchangam Ramakanth; Gupta, Sushil K.; Agarwal, Amit

doi:10.1007/s00268-005-0307-3

Cited by 47 publications

(63 citation statements)

References 8 publications

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“…The majority of previously reported adrenal cysts have been nonfunctioning and asymptomatic [2]. However, a few cases of cystic pheochromocytomas, which are typically solid tumors, have been described [2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Cystic Pheochromocytoma Discovered as an Adrenal Incidentaloma

Takarabe

2013

J Med Cases

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Cystic pheochromocytomas are uncommon. Patients with cystic pheochromocytomas are more likely to be asymptomatic and to have a negative biochemical evaluation than those with classic solid tumors, which may lead to misdiagnosis. We describe herein a case of cystic pheochromocytoma that was discovered as an adrenal incidentaloma. The patient did not have any major symptoms, apart from occasional mild headaches and palpitations at night. Pheochromocytomas should be considered in the differential diagnosis of cystic adrenal lesions.

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Section: Introductionmentioning

confidence: 99%

Cystic Pheochromocytoma Discovered as an Adrenal Incidentaloma

Takarabe

2013

J Med Cases

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“…However, systematic ultrasound control is mandatory, preferably with CT control (28). Pradeep et al basing on conducted studies suggested an algorithm according to which patients with hormonally active adrenal cysts and cysts exceeding 6 cm should be oper-ated on (29). Scheible et al described the technique of transcutaneous drainage of adrenal cysts.…”

Section: Discussionmentioning

confidence: 99%

Cystic Adrenal Lesions - Analysis of Indications and Results of Treatment

Major¹,

Pędziwiatr²,

Matłok³

et al. 2012

Polish Journal of Surgery

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Cysts are a rare pathology of adrenal glands. As the development of new diagnostic techniques takes place, the occurrence of adrenal cystic lesions has been rapidly increasing. The majority of them are solid adrenal lesions, but localized fluid collections are also more frequently diagnosed. In case of solid adrenal lesions, there are straight indications for surgery, but on the other hand there are no clear guidelines and recommendations in case of adrenal cysts. the aim of the study was to analyze surgical methods and evaluate treatment effects in patients who were qualified for laparoscopic adrenalectomy due to adrenal cystic lesions. metarial and methods. Identical criteria were used to qualify patients with solid and cystic lesions of the adrenal gland for surgery. out of the whole number of 345 patients who underwent laparoscopic surgery for adrenal tumors, 28 had adrenal cysts. 16 of them (57%) were women and 12 (43%) men. The average age of the studied group was 46.4 years (25-62 years). The average cyst diameter in CT was 5.32 cm (1.1-10 cm). Most of the lesions were hormonally inactive (22 patients), but in 6 cases increased level of adrenal hormones was observed. Results. Pathological analysis revealed 4 (14%) pheochromocytomas and 2 (7%) dermoid cysts. In case of 22 (79%) patients, the postoperative material was profiled by pathologists as insignificant according to potential neoplasmatic transformation risk: 5 (17.5%) -endothelial vascular cysts, 3 (11%) endothelial lymphatic cysts, 7 (25.5%) pseudocysts, 3 (11%) simple cysts, 2 (7%) bronchogenic cysts, 1 (3.5%) -cortical adenoma and 1 (3.5%) cyst was of myelolipoma type. conclusions. Based on the performed research and previous experience in treating patients with adrenal lesions we can conclude that application of the same evaluating algorithm for both cystic and solid lesions is valid.

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“…However, repeated and progressive blood loss verified by hemoglobin drop led the surgical team to choose an invasive procedure, the ultrasound-guided percutaneous biopsy revealing a serous and sanguinolent exsudate. Considering the dubious interpretation, clinical worsening, abdominal distention and pain, an axial CT of the abdomen was decisive for diagnosing the right adrenal hemorhagic cyst (11) . Although the best references in the literature state that video-guided surgery is the best treatment available for adrenal cysts (12,13) , and we fully agree, the learning curve in trauma situations and the intra-abdominal mass effect, the retroperitoneal localization and the fact that our results are better with open surgery had to be taken in account.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic adrenal cyst

Silva

Viamontez

Silva

et al. 2012

Einstein (São Paulo)

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The authors present a case of a hemorrhagic adrenal cyst, one of the tumors known in literature as incidentalomas, emphasizing the clinical characteristics, since adrenal cysts or pseudocysts are generally rare and observed by chance during imaging procedures. Traditionally they are classified as pseudocysts, endothelial, epithelial or parasitic cysts. Laparoscopic adrenalectomy has been considered the treatment of choice for benign, functioning or non-functioning adrenal lesions. Small cystic adrenal tumors can be managed conservatively by laparoscopic decortication or marsupialization, but larger cysts should be treated by total or partial adrenalectomy.Keywords: Adrenal gland diseases/diagnosis; Adrenal gland diseases/ surgery; Cysts/diagnosis; Adrenalectomy; Laparoscopy/methods; Case reports RESUMOOs autores apresentam um caso clínico de cisto hemorrágico da glândula adrenal, conhecido na literatura como uma das doenças do grupo dos incidentalomas, enfatizando características clínicas, como cistos e pseudocistos da adrenal, que são raros e geralmente diagnosticados incidentalmente por métodos de imagem. Tradicionalmente, essas lesões são classificadas em: pseudocistos, cistos endoteliais, epiteliais e parasitários. A adrenalectomia laparoscópica vem sendo considerada a conduta cirúrgica de escolha para o tratamento das lesões benignas da adrenal (funcionantes ou não funcionantes). As pequenas lesões císticas da adrenal podem ser manuseadas conservadoramente pela decorticação ou marsupialização laparoscópica; no entanto, os cistos maiores devem ser tratados por meio de adrenalectomia total ou parcial.Descritores: Doenças das glândulas supra-renais/diagnóstico; Doenças das glândulas supra-renais/cirurgia; Cistos/diagnóstico; Adrenalectomia; Laparoscopia/métodos; Relatos de casos

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Adrenal Cysts: An Institutional Experience

Abstract: Given that the adrenals are a vascular gland and taking into consideration the possibilities of bleeding and complications in the cyst, our treatment of choice is the elective excision of adrenal cysts.

Cited by 47 publications

References 8 publications

Cystic Pheochromocytoma Discovered as an Adrenal Incidentaloma

Cystic Pheochromocytoma Discovered as an Adrenal Incidentaloma

Cystic Adrenal Lesions - Analysis of Indications and Results of Treatment

Hemorrhagic adrenal cyst

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