Abstract

Cavernous hemangiomas of the adrenal gland are rare benign neoplastic tumors. The clinical presentation of adrenal hemangiomas is usually vague, and they are often discovered incidentally through imaging examination s performed for other reasons. We report the case of a non-functional adrenal hemangioma found incidentally in a 37-year-old man with a one-year history of headache and hypertension. A right adrenal mass was detected by means of magnetic resonance imaging. Physical examination and all laboratory values were unremarkable. The patient underwent laparoscopic right adrenal gland resection. Histopathological evaluation confirmed adrenal cavernous hemangioma. Most occurrences of cavernous hemangiomas of the adrenal gland are non-functional and often discovered incidentally. Although rare, these unusual benign adrenal masses should form part of the differential diagnosis of adrenal neoplasms. The proper treatment for adrenal cavernous hemangioma is surgical removal.

Highlights

  • We report the case of a non-functional adrenal hemangioma found incidentally in a 37-year-old man

  • Adrenal hemangiomas are benign tumors that arise from endothelial cells that line blood vessels

  • Adrenal hemangiomas are mostly cavernous, unilateral lesions of the adrenal glands, which appear between the ages of 50 and 70 years, with a 2:1 female-to-male ratio.[1,5,6]

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Summary

INTRODUCTION

The development of various diagnostic tools, such as computed tomography and magnetic resonance imaging make it feasible to predict a tumor’s nature more precisely.[4] We report the case of a non-functional adrenal hemangioma found incidentally in a 37-year-old man. CASE REPORT A 37-year-old Chinese male was referred to our teaching hospital on December 4th, 2012, with an incidental finding of a right adrenal mass by magnetic resonance imaging. An abdominal computed tomography scan revealed a well-defined, heterogeneous, ovoid mass with fat component and peripheral speckled calcifications, which measured 5.3 × 4.6 × 6 cm, located at the upper pole of the right kidney (Figures 1A and 1B). On December 12, 2012, the patient underwent laparoscopic right adrenal gland resection because the possibility of malignant tumors could not be ruled out clinically. On December 17, 2012, the patient was discharged from the hospital

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