Abstract
A 37-year-old female was being evaluated for fever when a huge cystic lesion of about 9 × 10.5 cm2 in size in the right adrenal fossa with internal septal structures containing spots of calcification was found incidentally on computed tomography. A right adrenal cyst was suspected, and right adrenalectomy and surgical resection of the lesion were then performed. The pathology showed multilocular spaces lined by flat cells, compatible with adrenal cystic lymphangioma. Immunohistochemically, the tumor was strongly positive for D2-40 and CD31. She received regular imaging follow-up, and no metastatic disease has been found until now. The radiological and pathological features of adrenal cysts and the treatment strategy for adrenal lymphangiomas are discussed.
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