Abstract

Incidentally found adrenal masses are increasingly frequent because of increased use of imaging procedures. The management of these neoplasms remains controversial. Adrenal incidentalomas are usually less than 4 cm in diameter. We present a young man with an 8 × 5 cm adrenal mass. A 24-year-old man was referred to our clinic with an adrenal mass discovered incidentally during a CT scan for an undefined pulmonary radiologic finding. Hormonal evaluation was normal. Gonadotrophins, thyroid function tests, urinary cortisol, and catecholamines were normal. Laparotomy and right adrenalectomy was performed without complication. The mass proved to be a ganglioneuroma (GN). GN is a rare tumor. GN can appear along the sympathetic paravertebral chain, the sympathetic paraganglia, or in the adrenal medulla (15%–30%). The prognosis is generally good.

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