Benign Cyst of the Adrenal Gland

Armitage, Harry V.

doi:10.1001/archsurg.1959.04320070152026

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This complex picture of abdominal cystic lesions is fulfilled by adrenal cysts which are recognized in pediatric as well as adult population. The first lesion having this site was described in 1670 and subsequently more cases were published together as a series of seven by Henschen in 1906; and by Reimann and Guyton who published some observations in 1947 related to four papers that were found during a 10-year period in the American literature [ 49 , 50 ]. Their work as well as the data provided by Stock on the same year currently represents the first studies available on PubMed on this matter, followed by the 1950 article by Moore and Cermak regarding a fatal outcome in a child with both adrenal cysts and insufficiency [ 51 , 52 ].…”

Section: General Datamentioning

confidence: 99%

Cystic adrenal lesions: focus on pediatric population (a review)

Cârșote

Ghemigian

Terzea

et al. 2017

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Background and aimThe cysts may potentially affect any organ; adrenals cysts are rare. This is a review of the literature regarding adrenal cysts, focusing on children and young adults.General dataThree major types have been described: pure cysts (endothelial, epithelial, and hemorrhagic or pseudocyst), parasitic (as hydatid) cysts and cystic part of a tumour (most frequent are neuroblastoma, ganglioneuroma, pheocromocytoma, and teratoma). The complications are: bleeding, local pressure effects; infection; rupture (including post-traumatic); arterial hypertension due to renal vessels compression. Adrenal hemorrhage represents a particular condition associating precipitating factors such as: coagulation defects as Factor IX or X deficiency, von Willebrand disease, thrombocytopenia; antiphospholipid syndrome; previous therapy with clopidogrel or corticosteroids; the rupture of a prior tumour. At birth, the most suggestive features are abdominal palpable mass, anemia, and persistent jaundice. Adrenal insufficiency may be found especially in premature delivery. The hemorrhage is mostly self-limiting. Antenatal ultrasound diagnosis of a cyst does not always predict the exact pathology result. The most important differential diagnosis of adrenal hemorrhage/hemorrhagic cyst is cystic neuroblastoma which is highly suggestive in the presence of distant metastases and abnormal catecholamine profile. The major clue to differentiate the two conditions is the fact that the tumor is stable or increases over time while the adrenal hemorrhage is expected to remit within one to two weeks.ConclusionPediatric adrenal cysts vary from simple cysts with a benign behavior to neoplasia- related lesions displaying severe prognosis as seen in cystic neuroblastoma. A multidisciplinary team is required for their management which is conservative as close follow-up or it makes necessary different surgical procedures in cases with large masses or if a malignancy suspicion is presented. Recently, laparoscopic approach is regarded as a safe procedure by some authors but generally, open surgery is more frequent used compare to adults; in most cases the preservation of normal gland is advisable.

show abstract

Section: General Datamentioning

confidence: 99%

Cystic adrenal lesions: focus on pediatric population (a review)

Cârșote

Ghemigian

Terzea

et al. 2017

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

show abstract

Abnormal presentation of haemorrhagic adrenal cyst

2021

View full text Add to dashboard Cite

An 81-year-old patient presented with fever and lethargy for 3 weeks. There were no other signs or symptoms of infection. Detailed history revealed a fall onto his right flank, prior to the start of fever. All microbiological, autoimmune and oncological investigations were negative. CT scan of chest, abdomen and pelvis showed haemorrhage in a previously diagnosed simple adrenal cyst. The cyst was non-functioning. The patient continued to spike fever in the following 4 weeks, otherwise remained stable. The patient was managed conservatively as haemoglobin level was stable. Repeated scan showed signs of improvement. He was discharged after 5 weeks. He remained afebrile and asymptomatic at the planned endocrinology outpatient follow-up after 8 weeks.

show abstract

A Giant Lymphatic Cyst of the Adrenal Gland: Report of a Rare Case and Review of the Literature

Furihata

Iida

Furihata³

et al. 2015

International Surgery

View full text Add to dashboard Cite

Lymphatic type of adrenal cysts is most common; however, this type of endothelial cyst is quite rare in excessively large adrenal cysts. A 37-year-old Japanese woman was admitted to our institution with distension of her left flank and the upper quadrant of her abdomen. Abdominal ultrasonography revealed a cystic lesion with a homogenous anechoic texture, and measuring 21 cm in diameter. Computed tomography and magnetic resonance imaging displayed a giant cystic lesion adjacent to the liver, pancreas, kidney, and spleen. The origin of the cyst was not identified. We were not able to make a preoperative diagnosis; therefore, the patient underwent resection of the mass by open laparotomy for therapeutic diagnosis. Intraoperatively, the mass was identified to be cystic and adhered to the left adrenal gland. It was filled with more than 2000 mL of serous brown-red fluid. The content of the cyst contained no atypical cells on cytological examination. The wall of the cyst was composed of a lining of a single layer of lymphatic vessel-derived cells, and the cyst was pathologically classified as a true cyst. No abdominal symptoms were observed and a postoperative radiological work-up showed no evidence of recurrence during a 6-year follow-up period. We describe a case of a patient with a giant lymphatic cyst of the adrenal gland. The preset data suggest that surgeons should decide treatment strategy for large adrenal cysts in consideration of hormonal function, degree of size, and possibility of malignancy.

show abstract

Benign Cyst of the Adrenal Gland

Cited by 3 publications

References 9 publications

Cystic adrenal lesions: focus on pediatric population (a review)

Cystic adrenal lesions: focus on pediatric population (a review)

Abnormal presentation of haemorrhagic adrenal cyst

A Giant Lymphatic Cyst of the Adrenal Gland: Report of a Rare Case and Review of the Literature

Contact Info

Product

Resources

About