ECE2016 Eposter Presentations Endocrine tumours and neoplasia (68 abstracts)
Incidentaloma. Myxoid adrenal adenoma
Jose Alvaro Romero Porcel , Guillermo Martinez De Pinillos Gordillo , Eyvee Arturo Cuellar Lloclla , Fernando Garcia Perez , Mariola Mendez Muros , Mariana Tome Fernandez-Ladreda , Jose Ignacio Fernandez Peña , Juan Manuel Garcia De Quiros , Jose Ignacio Fernandez Lopez & Maria Victoria Cozar Leon
Hospital Universitario de Valme, Seville, Spain.
Introduction: Myxoid tumors of the adrenal glands constitute an unusual entity and should be part of the differential diagnosis of atypical adenomas in the study of adrenal incidentaloma.
Description of methods: We report the finding of myxoid adrenal adenoma in left adrenal gland in a 38-year-old woman.
Case: PMH: Active smoker. Non hypertension, type 2 diabetes or dyslipidemia. No constitutional symptoms.
Physical examination: no signs of hypercortisolism. Weight 164 kg, BMI 18 kg/m2, MAP 120 – 70 mmHg.
38-year-old woman studied by mixed urinary incontinence. Ultrasound define mass in left adrenal gland hypoechoic, homogeneous and well-defined contours, non calcifications of 4.6×4.7×4.2 cm.
Abdominal MRI was requested later to define a left adrenal mass of 6×5.3 cm, heterogeneous, contours defined: differential diagnosis between atypical adenomas (on MRI if it becomes apparent signal loss in “out of phase”), pheochromocytoma (that is hyperintense on T2) and adrenal carcinoma (for size and heterogeneity presented).
The study of functionality intervention was normal functionality. It was operated by the imagining radiological characteristics of suspected neoplasia and being larger than 4 cm.
After laparoscopic left adrenalectomy was made, study concludes that it was pseudoglandular myxoid adrenal adenoma.
Currently has good clinical and laboratory evolution.
Conclusions: Pseudoglandular myxoid adrenal gland adenoma is a rare variant of myxoid adenomas. The radiological characteristics are variables. The definitive diagnosis is provided by pathologic examination. The evolution of myxoid benign adenomas is similar that conventional ones.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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