Adrenal hemangioma is a rare adrenal tumour usually presented as incidental finding in asymptomatic patients. Due to its radiographic features sometimes its 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.
16 - 20 May 2015
European Society of Endocrinology