Skip to main content
SpringerLink
Log in

Retroperitoneale Zysten, die Nebennierenzysten imitieren können

Two cystic retroperitoneal lesions mimicking adrenal cysts

  • Fallberichte
  • Published:
Der Pathologe Aims and scope Submit manuscript

Zusammenfassung

Nebennierenzysten sind selten und werden in der Regel zufällig bei radiologischen Untersuchungen des Abdomens entdeckt. Wir berichten über zwei extraadrenal gelegene zystische Läsionen, die in der Bildgebung als Nebennierenzysten eingeordnet wurden. Die Untersuchung der Zysten durch die Pathologie ergab die Diagnosen von einerseits einer Duplikaturzyste an der kleinen Magenkurvatur (Kopfdarm) und andererseits einer epithelialen Inklusionszyste der Milz, die sich im vorliegenden Fall wahrscheinlich in eine Nebenmilz am Pankreasschwanz entwickelt hat.

Abstract

Adrenal cysts are uncommon lesions and most of them are found incidentally during abdominal imaging. We report on two benign extraadrenal lesions mimicking adrenal tumors in abdominal imaging. The histopathological investigation of the lesions revealed a foregut duplication cyst of the lesser gastric curvature and an epithelial inclusion cyst (epidermoid cyst) in an intrapancreatic accessory spleen respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Abeshouse GA, Goldstein RB, Abeshouse BS (1959) Adrenal cysts; review of the literature and report of three cases. J Urol 81:711–719

    CAS  PubMed  Google Scholar 

  2. Adsay NV, Hasteh F, Cheng JD et al. (2002) Lymphoepithelial cysts of the pancreas: a report of 12 cases and a review of the literature. Mod Pathol 15:492–501

    Article  PubMed  Google Scholar 

  3. Burgner DP, Carachi R, Beattie TJ (1994) Foregut duplication cyst presenting as neonatal respiratory distress and haemoptysis. Thorax 49:287–288

    CAS  PubMed  Google Scholar 

  4. Burrig KF (1988) Epithelial (true) splenic cysts. Pathogenesis of the mesothelial and so-called epidermoid cyst of the spleen. Am J Surg Pathol 12:275–281

    CAS  PubMed  Google Scholar 

  5. Holtzman RN, Heymann AD, Bordone F et al. (2001) Carbohydrate antigen 19-9 and carcinoembryonic antigen immunostaining in benign multicystic mesothelioma of the peritoneum. Arch Pathol Lab Med 125:944–947

    CAS  PubMed  Google Scholar 

  6. Ildstad ST, Tollerud DJ, Weiss RG et al. (1988) Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations. Ann Surg 208:184–189

    CAS  PubMed  Google Scholar 

  7. Lockhart ME, Smith JK, Kenney PJ (2002) Imaging of adrenal masses. Eur J Radiol 41:95–112

    Article  PubMed  Google Scholar 

  8. Rozenblit A, Morehouse HT, Amis ES Jr (1996) Cystic adrenal lesions: CT features. Radiology 201:541–548

    CAS  PubMed  Google Scholar 

  9. Tanuma Y, Kimura M, Sakai S (2001) Adrenal cyst: a review of the Japanese literature and report of a case. Int J Urol 8:500–503

    Google Scholar 

  10. Thompson GB, Young WF Jr (2003) Adrenal incidentaloma. Curr Opin Oncol 15:84–90

    Article  PubMed  Google Scholar 

  11. Walz MK, Metz KA, Sastry M et al. (1994) Benign mesothelial splenic cyst may cause high serum concentration of CA 19-9. Eur J Surg 160:389–391

    CAS  PubMed  Google Scholar 

  12. Yokomizo H, Hifumi M, Yamane T et al. (2002) Epidermoid cyst of an accessory spleen at the pancreatic tail: diagnostic value of MRI. Abdom Imaging 27:557–559

    Article  CAS  PubMed  Google Scholar 

Download references

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

Author information

Authors and Affiliations

  1. Institut für Pathologie, Universitätsklinikum Essen

    F. Grabellus, K. J. Schmitz, K. A. Metz & H. A. Baba

  2. Klinik und Poliklinik für Allgemein- und Transplantationschirurgie, Universitätsklinikum Essen

    C. Dereskewitz, G. M. Kaiser & A. Frilling

  3. Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Essen

    H. Kühl

  4. Insitut für Pathologie, Universitätsklinikum Münster

    C. Kersting

  5. Institut für Pathologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen

    F. Grabellus

Authors
  1. F. Grabellus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Dereskewitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. J. Schmitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. M. Kaiser
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Kühl
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. Kersting
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Frilling
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. K. A. Metz
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. H. A. Baba
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Grabellus.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grabellus, F., Dereskewitz, C., Schmitz, K.J. et al. Retroperitoneale Zysten, die Nebennierenzysten imitieren können. Pathologe 26, 226–230 (2005). https://doi.org/10.1007/s00292-004-0714-5

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00292-004-0714-5

Schlüsselwörter

Keywords

Search

Navigation