Abstract
Background Cavernous hemangioma is a rare benign tumor that develops from the adrenal glands. In this study, we present our experience with patients with adrenal cavernous hemangiomas (ACH) in a Chinese population. Methods Demographic, diagnostic, surgical, and pathological findings in patients at a single institution who were adrenalectomized as a result of ACH were retrospectively reviewed. Results Among 601 patients who underwent adrenalectomy, 8 (1.33%; 5 men, 3 women) cases were diagnosed with ACH between January 1, 1998, and December 31, 2018, in a single institution. The mean age was 53.25 ± 11.9 years (range, 35–67 years). Four (50%) were asymptomatic, and three (37.5%) complained of abdominal or flank discomfort. Preoperative computed tomography (CT) revealed ACH in 3 (37.5%) cases. Well-defined borders and heterogeneous enhancement with characteristic progressive partial filling-in were characteristic CT features of ACH (tumor size>3 cm). The mean tumor size was 5.16 ± 3.4 cm (range, 1.5–11 cm). No recurrence occurred during a median follow-up period of 38.37 months (range, 8–60 months). Conclusions ACH was asymptomatic in most cases, and diagnosis could be challenging. Adrenalectomy is a safe treatment modality for ACH, and it ensures favorable outcomes.
Highlights
Cavernous hemangioma is a benign neoplasm originating from cavernous anomalous vessels composed of many thinwalled vessels. is neoplasm mostly occurs in the liver and kidney [1,2,3]
Specific procedures included open and laparoscopic surgery depending on the preoperative diagnosis, tumor size, patient willingness, and surgeon preference. e operation time (OT), estimated blood loss (EBL), postoperative days, and complications were evaluated
E tumor size in 5 patients was more than 3 cm, and in 3 patients, it was less than 3 cm
Summary
Adrenal cavernous hemangioma (ACH) is rare in clinical practice [4]. ACH is usually benign and slow growing It is usually asymptomatic, but some patients can present with either abdominal or flank pain. But some patients can present with either abdominal or flank pain It has a good prognosis after surgical excision. Cavernous hemangioma is a rare benign tumor that develops from the adrenal glands. We present our experience with patients with adrenal cavernous hemangiomas (ACH) in a Chinese population. Among 601 patients who underwent adrenalectomy, 8 (1.33%; 5 men, 3 women) cases were diagnosed with ACH between January 1, 1998, and December 31, 2018, in a single institution. E mean tumor size was 5.16 ± 3.4 cm (range, 1.5–11 cm). Adrenalectomy is a safe treatment modality for ACH, and it ensures favorable outcomes
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