Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 150-153 |
| Numero di pagine | 4 |
| Rivista | International Journal of Surgery Case Reports |
| Volume | 16 |
| Stato di pubblicazione | Published - 2015 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Surgery
Cita questo
Large cavernous hemangioma of the adrenal gland: Laparoscopic treatment. Report of a case. / Gulotta, Gaspare; Romano, Giorgio; Agrusa, Antonino; Galia, Massimo; Salamone, Giuseppe; Chianetta, Daniela; Di Buono, Giuseppe; Sorce, Vincenzo; Orlando, Elisabetta.
In: International Journal of Surgery Case Reports, Vol. 16, 2015, pag. 150-153.Risultato della ricerca: Article
}
TY - JOUR
T1 - Large cavernous hemangioma of the adrenal gland: Laparoscopic treatment. Report of a case
AU - Gulotta, Gaspare
AU - Romano, Giorgio
AU - Agrusa, Antonino
AU - Galia, Massimo
AU - Salamone, Giuseppe
AU - Chianetta, Daniela
AU - Di Buono, Giuseppe
AU - Sorce, Vincenzo
AU - Orlando, Elisabetta
PY - 2015
Y1 - 2015
N2 - Introduction Cavernous hemangioma of the adrenal gland is a rare benign tumor. The diagnosis is often postoperative on histological exam with the presence of blood-filled, dilated vascular spaces. Presentation of case We report the clinical case of a 49 years-old woman who came to our observation with aspecific abdominal pain. A computed tomography (CT) abdominal scan revealed a 11 cm right adrenal mass. This lesion was well circumscribed, round, encapsulated. After iodinated-contrast we observed a progressive, inhomogeneous enhancement without evidence of active bleeding and with pre-operative diagnosis of adrenal hemangioma. Laparoscopic adrenalectomy was performed by a transperitoneal flank approach. Pathological examination revealed a 11 cm adrenal mass with extensive central necrotic areas mixed to sinusoidal dilation and fibrotic septa. Postoperative diagnosis was adrenal hemangioma. Discussion Adrenal hemangiomas occur infrequently. Generally these adrenal masses are non-functioning and there is no specific symptoms. Recent records demonstrate that laparoscopic adrenalectomy is technically safe and feasible for large adrenal tumors, but controversy exists in cases of suspected malignancy. We choose laparoscopic approach to adrenal gland on the basis of preoperative CT abdominal scan that excludes radiological signs of adrenocortical carcinoma (ACC) such as peri-adrenal infiltration and vascular invasion. Conclusion Laparoscopic adrenalectomy is considered the standard treatment in case of diagnosis of benign lesions. In this case report we discussed a large adrenal cavernous hemangioma treated with laparoscopic approach. Fundamental is the study of preoperative endocrine disorders and radiologic findings to exclude signs of malignancy.
AB - Introduction Cavernous hemangioma of the adrenal gland is a rare benign tumor. The diagnosis is often postoperative on histological exam with the presence of blood-filled, dilated vascular spaces. Presentation of case We report the clinical case of a 49 years-old woman who came to our observation with aspecific abdominal pain. A computed tomography (CT) abdominal scan revealed a 11 cm right adrenal mass. This lesion was well circumscribed, round, encapsulated. After iodinated-contrast we observed a progressive, inhomogeneous enhancement without evidence of active bleeding and with pre-operative diagnosis of adrenal hemangioma. Laparoscopic adrenalectomy was performed by a transperitoneal flank approach. Pathological examination revealed a 11 cm adrenal mass with extensive central necrotic areas mixed to sinusoidal dilation and fibrotic septa. Postoperative diagnosis was adrenal hemangioma. Discussion Adrenal hemangiomas occur infrequently. Generally these adrenal masses are non-functioning and there is no specific symptoms. Recent records demonstrate that laparoscopic adrenalectomy is technically safe and feasible for large adrenal tumors, but controversy exists in cases of suspected malignancy. We choose laparoscopic approach to adrenal gland on the basis of preoperative CT abdominal scan that excludes radiological signs of adrenocortical carcinoma (ACC) such as peri-adrenal infiltration and vascular invasion. Conclusion Laparoscopic adrenalectomy is considered the standard treatment in case of diagnosis of benign lesions. In this case report we discussed a large adrenal cavernous hemangioma treated with laparoscopic approach. Fundamental is the study of preoperative endocrine disorders and radiologic findings to exclude signs of malignancy.
UR - http://hdl.handle.net/10447/160315
UR - http://www.elsevier.com/wps/find/journaldescription.cws_home/723449/description#description
M3 - Article
VL - 16
SP - 150
EP - 153
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
ER -