Endocrine Abstracts (2015) 37 EP1168 | DOI: 10.1530/endoabs.37.EP1168

Adrenal cevernous hemangioma

Miomira Ivovic1,2, Vladan Zivaljevic1,2, LJiljana Marina1, Svetlana Vujovic1,2, Milina Tancic-Gajic1,2, Zorana Arizanovic1, Dragana Rakovic1 & Dragan Micic1,2

1Clinic for Endocrinology, Diabetes and Metabolic Disease, Clinical Center Serbia, Belgrade, Serbia; 2Belgrade University School of Medicine, Belgrade, Serbia.

Adrenal hemangioma is a rare adrenal tumour usually presented as incidental finding in asymptomatic patients. Due to its radiographic features sometimes it’s difficult to differentiate them from other malignant lesions. We present a 55-years-old men admitted to our department with adrenal incidentaloma size 5×4 cm confirmed by MSCT scan. Active phaeochromocythoma was excluded by normal urinary catecholamines. Endocrine evaluations revealed normal midnight cortisol, with post 1mg-DST cortisol suppression and normal basal ACTH. PRA and Aldosteron were in normal range with normal ALD/PRA ratio. According to MSCT tumour had some malignant neoplastic features. Surgery was performed. Intraoperative findings showed adrenal tumour about 5 cm sizes without signs of local infiltration or lymphadenopathy. Tumour was completely removed with adrenalectomy. Pathophysiology showed cavernous and partially capillary hemangioma with hyperplasia of the rest of adrenal gland. 6 months later patient was retested and results show normal function of the left adrenal gland. Most of adrenal cavernous hemangioma was non-functional and surgical removal was the right choice of therapy. They should be also the part of differential diagnosis of adrenal incidentaloma.

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