Abstract
Background
Benign cystic and vascular adrenal tumours comprise a group of lesions characterised by their rarity. Nevertheless, they are still conflicting with other adrenal lesions. We reviewed our experience with cystic benign adrenal tumours in adults and evaluated previous reports to determine the appropriate diagnosis and management of these tumours.
Methods
We retrospectively reviewed our records for all cases of adrenal tumours managed at our institution between 2010 and 2017. Patients aged > 18 years were included in the study. The patients’ characteristics, presentation, diagnostic tools, laboratory metabolic workup, mode of treatment, pathological characteristics and outcomes were assessed. We reviewed previous reports that addressed adrenal tumours, using a Medline/PubMed search.
Results
Out of 291 patients, three patients (median age 40 years) presented as cystic benign incidentalomas (<1%) and were included in the study. All patients had a normal metabolic profile. Radiological examination revealed cystic non-adenomatous adrenal masses with a mean diameter of 10 cm. Laparoscopic approach was carried out in two cases and open approach was done in the other patient. Benign pathology was found in all cases. No patient developed recurrence later on.
Conclusion
We could conclude that the evaluation and classification of benign adrenal vascular tumours and cysts remain challenging because of their rarity and overlapping morphological features.
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The authors declare that they have no conflict of interest.
Ethical Approval - Informed Consent
The authors declare that the study has been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. Also all patients gave their written informed consent prior to their inclusion to the study.
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Elbaset, M.A., Zahran, M.H., Badawy, M. et al. A Report of Three Cases of Cystic Adrenal Masses. Incidence, Presentation and Management. A Case Series with a Short Review of the Literature. Hellenic J Surg 92, 133–137 (2020). https://doi.org/10.1007/s13126-020-0561-8
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DOI: https://doi.org/10.1007/s13126-020-0561-8