Adrenal oncocytoma
Keywords:
adrenal neoplasms, adrenal oncocytoma, inmunohystochemistry.Abstract
Introduction: Adrenal oncocytoma is a rare and incidental tumor without its own clinical manifestations.Objective: To present a case of adrenal oncocytoma and its diagnostic and therapeutic characteristics.
Clinical case: 34-year-old male patient with a medical history, who presented with right lumbo-abdominal pain, without radiation or other accompanying symptoms. The physical exam was normal. The ultrasound reported a tumor of about 7 cm of diameter, located towards the upper pole of the right kidney. The adrenal origin was defined with contrast abdominal tomography. The blood levels of hormones of the adrenal cortex were normal. Total excision of the tumor was performed by conventional laparotomy. The kidney was normal. Histopathological examination reported adrenal oncocytoma and the immunohistochemistry confirmed it. The patient evolved satisfactorily.
Conclusions: Adrenal oncocytoma is a rare and fortuitous tumor. Contrast abdominal tomography does not have high specificity to differentiate it from other adrenal tumors. The immunohistochemical profile of the tumor is conclusive in the definitive diagnosis.
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References
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6. Kanitra JJ, Hardaway JC, Soleimani T, Koehler TJ, McLeod MK, Kavuturu S. Adrenocortical oncocytic neoplasm: A systematic review. Surgery. 2018 [acceso: 20/04/2020]; 164(6):1351- 9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30037428
7. Peynirci H, Taskıran B, Dik N, Saraydaroğlu Ö, Ersoy C. Oncocytic neoplasms; rare adrenocortical tumours - a report of eleven patients. Endokrynol Pol. 2018 [acceso: 20/04/2020]; 69(6):682-7. Disponible en: https://journals.viamedica.pl/endokrynologia_polska/article/view/55220
8. Kedia RR, Muinov L, Lele SM, Shivaswamy V. Adrenal oncoctyoma of uncertain malignant potential: a rare etiology of adrenal incidentalomas. Clin Case Rep. 2016 [acceso: 20/04/2020]; 4(3):303-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771856/
9. Shenouda M, Brown LG, Denning KL, Pacioles T. A case of oncocytic adrenocortical neoplasm of borderline (uncertain) malignant potential. Cureus. 2016 [acceso: 20/04/2020]; 8(6):e638: [aprox 10 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4945327/
10. Renaudin K, Smati S, Wargny M, Ghuzlan AA, Aubert S, Leteurtre E, et al. Clinicopathological description of 43 oncocytic adrenocortical tumors: importance of Ki-67 in histoprognostic evaluation. Modern Pathol. 2018 [acceso: 20/04/2020]; 31:1708-16. Disponible en: https://www.nature.com/articles/s41379-018-0077-8.pdf
Published
2021-02-27
How to Cite
1.
Horroutinel Scull RS, Rodríguez Collar TL, Hernández Puentes YZ, Morales Díaz E. Adrenal oncocytoma. Rev Cubana Med Milit [Internet]. 2021 Feb. 27 [cited 2025 Apr. 4];50(1):e0210734. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/734
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