Abstract:
BACKGROUND:The aim of this study was to establish the clinical and pathologic aspects of 3 atypical lipomatous lesions in the region of the adrenal gland. METHODS:Three young Chinese patients (ages 18, 18, and 37 years) were seen for nonspecific back pain. Radiologic examination revealed a lipomatous lesion in the region of the adrenal gland, and hormonal assessment was normal. Calcification was noted in 2 of the 3 lesions. Adrenalectomy was performed because of the size (diameter 7.5, 10, 11 cm) of the tumors with suspected local symptoms. RESULTS:On gross examination 2 tumors were cystic and 1 was solid. In all 3 patients the diagnosis was mature teratomas. The tumors were composed of mature tissues arising from more than 1 germinal layer. There was no evidence of immature elements or malignancy. Adipose tissue was the predominant component in the tumors. There was no evidence of recurrent diseases in all these patients during follow-up. CONCLUSIONS:To our knowledge, this is the first report of teratomas occurring in the adrenal region. Teratoma should clinically and radiologically be included in the differential diagnoses of lipomatous adrenal lesions. Excision of the teratoma is advocated.
journal_name
Surgeryjournal_title
Surgeryauthors
Lam KY,Lo CYdoi
10.1067/msy.1999.98924subject
Has Abstractpub_date
1999-07-01 00:00:00pages
90-4issue
1eissn
0039-6060issn
1532-7361pii
S0039-6060(99)00169-5journal_volume
126pub_type
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