Endocrine Abstracts

Introduction: Ganglioneuromes are benign tumors from neural crest cells, most often located in the posterior mediastinum and retroperitoneum, and are rarely localized in the adrenal gland. We report the case of a patient.Ho was referred to the incidental alert service

Observation: We report the case of a 45-year-old patient followed by a benign colic sigmoid polypeptide with epigastralgia for which a pelvic abdomino CT scan was requested, demonstrating a left 56 mm adrenal mass. The patient was referred to the incidental alert service. At the anamnesis, it does not report a paroxysmal acute attack, nor weight gain, nor signs of hypercatabolism. A physical examination did not reveal arterial hypertension or signs of hypercorticism, with no milk-spot stain. The hormonal balance had shown normal results, including urinary methoxylates and urinary free cortisol. The patient performed adrenal CT, specifying adrenal mass characteristics, which was hypodense in spontaneous contrast (26UH) moderately elevated after injection of the contrast medium (45UH) with a Wash out at 89%. The patient was operated with left adrenalectomy, with anatomo-pathological study a mature benign ganglioneurome.

Discussion: The diagnostic approach to an adrenal incidentaloma is well codified, determining a precise etiologic orientation, since thorough endocrine exploration and radiological characteristics confirm the accurate diagnosis of certain tumors. Although in certain cases confirmation of diagnosis can only be made by histological examination, as is the case with this patient.