Primary Hydatid Cyst of the adrenal gland: A case report and a review of the literature

Zouari, Skander; Chakroun, Marouene; Bibani, H.; Saadi, Ahmed; Sellami, A.; Kacem, Linda Haj; Blel, Ahlem; Bouzouita, A.; Derouiche, A.; Slama, R; Rammeh, Soumaya; Ayed, H.; Chébil, Mohamed

doi:10.1016/j.ijscr.2020.04.073

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…The latter are flat or cuboidal mesothelial cells, devoid of atypia. Parasitic cysts can reach remarkable size [68] and contain clear fluid in single or multiple cystic spaces and a fibro-calcific wall with PAS positive parasitic membranes [68,70,71] (Fig. 8).…”

Section: Question 3: What Are the Pathological Correlates Of Adrenal ...mentioning

confidence: 99%

Overview of the 2022 WHO Classification of Adrenal Cortical Tumors

et al. 2022

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The new WHO classification of adrenal cortical proliferations reflects translational advances in the fields of endocrine pathology, oncology and molecular biology. By adopting a question–answer framework, this review highlights advances in knowledge of histological features, ancillary studies, and associated genetic findings that increase the understanding of the adrenal cortex pathologies that are now reflected in the 2022 WHO classification. The pathological correlates of adrenal cortical proliferations include diffuse adrenal cortical hyperplasia, adrenal cortical nodular disease, adrenal cortical adenomas and adrenal cortical carcinomas. Understanding germline susceptibility and the clonal-neoplastic nature of individual adrenal cortical nodules in primary bilateral macronodular adrenal cortical disease, and recognition of the clonal-neoplastic nature of incidentally discovered non-functional subcentimeter benign adrenal cortical nodules has led to redefining the spectrum of adrenal cortical nodular disease. As a consequence, the most significant nomenclature change in the field of adrenal cortical pathology involves the refined classification of adrenal cortical nodular disease which now includes (a) sporadic nodular adrenocortical disease, (b) bilateral micronodular adrenal cortical disease, and (c) bilateral macronodular adrenal cortical disease (formerly known primary bilateral macronodular adrenal cortical hyperplasia). This group of clinicopathological entities are reflected in functional adrenal cortical pathologies. Aldosterone producing cortical lesions can be unifocal or multifocal, and may be bilateral with no imaging-detected nodule(s). Furthermore, not all grossly or radiologically identified adrenal cortical lesions may be the source of aldosterone excess. For this reason, the new WHO classification endorses the nomenclature of the HISTALDO classification which uses CYP11B2 immunohistochemistry to identify functional sites of aldosterone production to help predict the risk of bilateral disease in primary aldosteronism. Adrenal cortical carcinomas are subtyped based on their morphological features to include conventional, oncocytic, myxoid, and sarcomatoid subtypes. Although the classic histopathologic criteria for diagnosing adrenal cortical carcinomas have not changed, the 2022 WHO classification underscores the diagnostic and prognostic impact of angioinvasion (vascular invasion) in these tumors. Microscopic angioinvasion is defined as tumor cells invading through a vessel wall and forming a thrombus/fibrin-tumor complex or intravascular tumor cells admixed with platelet thrombus/fibrin. In addition to well-established Weiss and modified Weiss scoring systems, the new WHO classification also expands on the use of other multiparameter diagnostic algorithms (reticulin algorithm, Lin–Weiss–Bisceglia system, and Helsinki scoring system) to assist the workup of adrenal cortical neoplasms in adults. Accordingly, conventional carcinomas can be assessed using all multiparameter diagnostic scheme...

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Section: Question 3: What Are the Pathological Correlates Of Adrenal ...mentioning

confidence: 99%

Overview of the 2022 WHO Classification of Adrenal Cortical Tumors

et al. 2022

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“…The symptoms presented depend on the localization of the cyst and the degree of compression of the local organs [15]. There have also been reports of primary hydatid cysts in various organs such as the heart [16], soft tissue [17], adrenal gland [18] and brain [19].…”

Section: Discussionmentioning

confidence: 99%

Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review

et al. 2020

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Introduction: The larvae of Echinococcus, a parasitic tapeworm, cause hydatid disease. The most commonly involved organ after the liver is the lung but there are cases of hydatid cysts in all systems and organs, such as brain, muscle tissue, adrenal glands, mediastinum and pleural cavity. Extra-pulmonary intrathoracic hydatidosis can be a diagnostic challenge and a plain chest x-ray can be misleading. It can also lead to severe complications such as anaphylactic shock or tension pneumothorax. The purpose of this paper is to present a severe case of primary pleural hydatidosis, as well as discussing the difficulties that come with it during diagnosis and treatment. Case Report: We present the case of a 43-year-old male, working as a shepherd, presenting with moderate dyspnea, chest pain and weight loss. Chest x-ray revealed an uncharacteristic massive right pleural effusion and thoracic computed tomography (CT) confirmed it, as well as revealing multiple cystic formations of various sizes and liquid density within the pleural fluid. Blood work confirmed our suspicion of pleural hydatidosis with an elevated eosinophil count, typical in parasite diseases. Surgery was performed by right lateral thoracotomy and consisted of removal of the hydatid fluid and cysts found in the pleura. Patient was discharged 13 days postoperative with Albendazole treatment. Conclusion: Cases of primary pleural hydatidosis are very rare but must be taken into consideration in patients from endemic regions with jobs that may have exposure to this parasite. Proper treatment, both surgical and antiparasitic medication, can lead to a full recovery and a low chance of recurrent disease.

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“…We read the recent article titled ”Primary Hydatid Cyst of the adrenal gland: A case report and a review of the literature” published by Zouari and colleagues with great interest [ 1 ]. The authors have presented a case of left adrenal hydatid cyst (AHC) disease in a 55 years old patient together with a review of literature.…”

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confidence: 99%

“…The last point that we would like to emphasize is the suitability of puncture-aspiration-injection-reaspiration (PAIR) for AHCs. Although PAIR is present in the studies in the time interval of the literature search of Zouari and colleagues [ 1 ], they have not referred to two important studies on this subject [ 10 , 11 ]. Various authors state that advantages of PAIR in adrenal hydatid cysts is the limited contamination risk and adrenal sparing capacity of the procedure.…”

mentioning

confidence: 99%

Primary Hydatid Cyst of the adrenal gland: A case report and a review of the literature

Cited by 5 publications

References 9 publications

Overview of the 2022 WHO Classification of Adrenal Cortical Tumors

Overview of the 2022 WHO Classification of Adrenal Cortical Tumors

Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review

Comment on: Primary hydatid cyst of the adrenal gland: A case report and a review of the literature

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