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Adrenal schwannoma. | LitMetric

Adrenal schwannoma.

JSLS

First Surgical Clinic, "St. Spiridon" Hospital, University of Medicine, Iaçsi, Romania.

Published: June 2009

AI Article Synopsis

  • - Adrenal schwannomas are rare tumors that are hard to diagnose before surgery; a 55-year-old man had one found incidentally during a checkup after melanoma surgery.
  • - Initial evaluations suggested the adrenal mass might be metastatic, but a laparoscopic adrenalectomy was performed, leading to a straightforward recovery.
  • - Accurate diagnosis is essential as misidentifying a nonsecreting adrenal mass can complicate treatment in cancer patients; complete laparoscopic removal is the preferred approach for definitive diagnosis and management.

Article Abstract

Background: Adrenal schwannomas are very rare tumors that are difficult to diagnose preoperatively. We report the case of a left adrenal schwannoma incidentally discovered in a 55-year-old man during a postoperative checkup for a cutaneous malignant melanoma.

Methods: The biological evaluation was unremarkable, and the radiological examination revealed the adrenal mass that was first considered a metastatic lesion. Adrenalectomy was performed by the laparoscopic approach.

Results: The postoperative course was uneventful. Histological examination established the correct diagnosis of schwannoma, which was also confirmed by immunohistochemical staining.

Conclusions: A nonsecreting adrenal mass can be easily misjudged, especially in the context of a recently operated on malignancy. Unilateral adrenal metastasis needs pathological confirmation, as it can dramatically affect prognosis. Unusual tumors of the adrenal gland may be found incidentally, and a malignant context will generate difficulties in establishing the right management. Complete laparoscopic excision is the treatment of choice whenever feasible and will also clarify pathology.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015893PMC

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