Cystic adrenal lesions: Clinical and surgical management. The experience of a referral centre

Cavallaro, Giuseppe; Crocetti, Daniele; Paliotta, Annalisa; Gori, Alessandra; Tarallo, Mariarita; Letizia, Claudio; Toma, Giorgio De

doi:10.1016/j.ijsu.2014.11.023

Cited by 31 publications

(40 citation statements)

References 30 publications

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“…Typically, they are benign non-functioning lesions [1]. Rarely, they may simulate catecholamine producing tumors or pheochtomocytomas [7].…”

Section: Discussionmentioning

confidence: 99%

“…The first case of a ruptured vascular adrenal cyst was reported by Greiselius in 1970, Viena Later in 1837, France, Rayers decribed the second case [1][2][3]. Since then up to date, around 600 cases have been reported [4].…”

Section: Introductionmentioning

confidence: 99%

“…In the last decades, the advance in imaging techniques has caused an increase in the number of adrenal incidentalomas, and consequently, the number of vascular adrenal cysts diagnosed as incidental finding. Before of the era of the widespread of radiologic imaging techniques, these lesions were diagnosed when reached a great size or caused symptoms [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Vascular Adrenal Cyst: A Rare Retroperitoneal Tumor-Report of a Case and a Review of Literature

F¹,

Bravo²,

MR³

et al. 2017

OMICS J Radiol

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Introduction: Cystic adrenals are uncommon lesions that must be distinguished from other retroperitoneal or adrenal tumours. They are a heterogeneous group and vascular adrenal cysts constitute the most common type. The vast majority of these tumours are silent; however, occasionally, they can present a great variety of symptoms such as mass effect, abdominal pain or discomfort. They are benign lesions without malignant potential that can require surgical treatment to confirm diagnosis or alleviate symptoms.

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“…Typically, they are benign non-functioning lesions [1]. Rarely, they may simulate catecholamine producing tumors or pheochtomocytomas [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Vascular Adrenal Cyst: A Rare Retroperitoneal Tumor-Report of a Case and a Review of Literature

F¹,

Bravo²,

MR³

et al. 2017

OMICS J Radiol

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“…According to Cavallaro, et al this technique can be considered as an alternative to surgery only in patients with severe comorbidity or with high ASA high risk of surgery. Surgery of total adrenalectomy is indicated, without breaking the cyst or marsupialisation of the same, in the event of a risk of malignancy, hormone activity, pests and size greater than 4-5 cm [8,11]. The simple enucleation of the cyst, saving gland, is the procedure of choice in the absence of malignancy or hormonal activity; marsupialisation is recommended when the cyst wall is tenaciously attached to the nearby organs [4].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of the Largest Mesothelial Adrenal Cyst in Literature

2017

JCRC

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Introduction: Adrenal cyst lesions are rare, with varying etiology, with unspecified symptomatic kit and instrumental diagnosis not simple if of large size. The directions for surgical treatment are well defined. Clinical Case: A 28-year-old patient complained of abdominal swelling, slight dyspnea, pain in the right flanking region associated with a lack of weight loss despite voluntary diet. He practices a TC and RM abdomen. That point out a cystic lesion of 30x21x38 cm but do not clarify the origin. He is subjected to laparoscopic surgical treatment which allows to clarify the peritoneal background of cysts, its drainage and removal. Histological examination confirms the mesothelial nature of cysts. The TC abdominal control at a distance of six months points out the correct localization of the abdominal organs, previously moved to the left, and the right surreal leftover. Conclusions: Surgical treatment allows to clarify diagnostic doubts in case of large cystic lesions and to carry out a radical therapy. The removal of only cysts or the entire adrenal gland is controversial. The laparoscopic approach, if possible, is preferable as it guarantees the same result with faster recovery times and less risk of site infection or surgical wound.

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“…Such lesions are accompanied by the accumulation of necrotic tissues, blood components, pancreatic fluids, and mucin (2,3). A large, cystic pheochromocytoma without any specific symptoms along with elevated catecholamine levels may be diagnosed occasionally (4,5); these large, cystic lesions may be confused with pancreatic tumors, liver abscesses, and liver cysts due to their similar imaging findings (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

A Case Of Cystic Pheochromocytoma With Hypertension And Headaches Mimicking A Large Pancreatic Cystic Tumor

Yamagata

Kageyama

Nomura

et al. 2017

AACE Clinical Case Reports

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Objective: Cystic pheochromocytomas can become enlarged without abdominal symptoms and can potentially be confused with other abdominal cystic tumors.Methods: We report here a case of a 45-mm cystic pheochromocytoma that was initially considered a pancreatic cystic tumor. The patient had a 4-year history of treatment for hypertension and occasional headaches. Left cystic pheochromocytoma was diagnosed based on excessive catecholamine levels, 18 F-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography ( 18 F-FDG PET/CT), and 123 I-metaiodobenzylguanidine ( 123 I-MIBG) scintigraphy.Results: Left adrenalectomy ameliorated the patient's hypertension and headache. Pathologic findings showed an enlarged cyst with an irregular, thick wall adherent to the normal adrenal tissues. Conclusion: A large cystic pheochromocytoma can be misdiagnosed as a large pancreatic cystic tumor. CT and magnetic resonance imaging (MRI) are less important in excluding the possibility of pheochromocytoma than biochemical evaluation. When adrenal glands are not identified on CT or MRI, 18 F-FDG PET/CT or 123 I-MIBG scintigraphy should be considered. (AACE Clinical Case Rep. 2017;3:e129-e133) Abbreviations: CT = computed tomography; 18 F-FDG PET/CT = 18 F-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography; 123 I-MIBG = 123 I-metaiodobenzylguanidine; MN = metanephrine; MRI = magnetic resonance imaging; NMN = normetanephrine; SDHB = succinate dehydrogenase subunit B

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Cystic adrenal lesions: Clinical and surgical management. The experience of a referral centre

Abstract: The presence of CAL, even asymptomatic, requires complete endocrinological evaluation and imaging study. In the presence of large size, endocrine activity or any suspicion of malignancy, patients must be referred to surgery.

Cited by 31 publications

References 30 publications

Vascular Adrenal Cyst: A Rare Retroperitoneal Tumor-Report of a Case and a Review of Literature

Vascular Adrenal Cyst: A Rare Retroperitoneal Tumor-Report of a Case and a Review of Literature

Laparoscopic Treatment of the Largest Mesothelial Adrenal Cyst in Literature

A Case Of Cystic Pheochromocytoma With Hypertension And Headaches Mimicking A Large Pancreatic Cystic Tumor

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