Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma

Ectopic adrenocortical tissue can arise along the path of embryonic migration, such as the celiac axis, broad ligament, adnexa of the testis, and spermatic cord. Occasionally, ectopic adrenocortical tissues undergo marked hyperplasia and develop into ectopic adrenocortical adenomas. This report desc...

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Main Authors: Masashi Endo, MD, Hiroyuki Fujii, MD, PhD, Akifumi Fujita, MD, PhD, Tatsuya Takayama, MD, PhD, Daisuke Matsubara, MD, PhD, Tomohiro Kikuchi, MD, Saki Manaka, MD, Harushi Mori, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321007548
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author Masashi Endo, MD
Hiroyuki Fujii, MD, PhD
Akifumi Fujita, MD, PhD
Tatsuya Takayama, MD, PhD
Daisuke Matsubara, MD, PhD
Tomohiro Kikuchi, MD
Saki Manaka, MD
Harushi Mori, MD, PhD
author_facet Masashi Endo, MD
Hiroyuki Fujii, MD, PhD
Akifumi Fujita, MD, PhD
Tatsuya Takayama, MD, PhD
Daisuke Matsubara, MD, PhD
Tomohiro Kikuchi, MD
Saki Manaka, MD
Harushi Mori, MD, PhD
author_sort Masashi Endo, MD
collection DOAJ
description Ectopic adrenocortical tissue can arise along the path of embryonic migration, such as the celiac axis, broad ligament, adnexa of the testis, and spermatic cord. Occasionally, ectopic adrenocortical tissues undergo marked hyperplasia and develop into ectopic adrenocortical adenomas. This report describes the case of a 60-year-old man who was incidentally found to have a lipid-containing mass with early enhancement and delayed washout in the right renal hilum. A renal cell carcinoma was suspected, and robot-assisted partial nephrectomy was performed, but the final diagnosis was an ectopic adrenocortical adenoma. We should include ectopic adrenocortical adenoma in the differential diagnosis when we find a lipid-containing tumor adjacent to the kidney.
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spelling doaj.art-bbfaa3bd9456489f8eb401db98d5edf12022-12-22T04:09:59ZengElsevierRadiology Case Reports1930-04332022-03-01173619622Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinomaMasashi Endo, MD0Hiroyuki Fujii, MD, PhD1Akifumi Fujita, MD, PhD2Tatsuya Takayama, MD, PhD3Daisuke Matsubara, MD, PhD4Tomohiro Kikuchi, MD5Saki Manaka, MD6Harushi Mori, MD, PhD7Department of Radiology, Jichi Medical University, School of Medicine, Tochigi, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, Tochigi, Japan; Corresponding authorDepartment of Radiology, Jichi Medical University, School of Medicine, Tochigi, JapanDepartment of Urology, Jichi Medical University, School of Medicine, Tochigi, JapanDivision of Integrative Pathology, Jichi Medical University, School of Medicine, Tochigi, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, Tochigi, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, Tochigi, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, Tochigi, JapanEctopic adrenocortical tissue can arise along the path of embryonic migration, such as the celiac axis, broad ligament, adnexa of the testis, and spermatic cord. Occasionally, ectopic adrenocortical tissues undergo marked hyperplasia and develop into ectopic adrenocortical adenomas. This report describes the case of a 60-year-old man who was incidentally found to have a lipid-containing mass with early enhancement and delayed washout in the right renal hilum. A renal cell carcinoma was suspected, and robot-assisted partial nephrectomy was performed, but the final diagnosis was an ectopic adrenocortical adenoma. We should include ectopic adrenocortical adenoma in the differential diagnosis when we find a lipid-containing tumor adjacent to the kidney.http://www.sciencedirect.com/science/article/pii/S1930043321007548Ectopic adrenal glandadrenocortical adenomarenal cell carcinoma
spellingShingle Masashi Endo, MD
Hiroyuki Fujii, MD, PhD
Akifumi Fujita, MD, PhD
Tatsuya Takayama, MD, PhD
Daisuke Matsubara, MD, PhD
Tomohiro Kikuchi, MD
Saki Manaka, MD
Harushi Mori, MD, PhD
Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
Radiology Case Reports
Ectopic adrenal gland
adrenocortical adenoma
renal cell carcinoma
title Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
title_full Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
title_fullStr Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
title_full_unstemmed Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
title_short Ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
title_sort ectopic adrenocortical adenoma in the renal hilum mimicking a renal cell carcinoma
topic Ectopic adrenal gland
adrenocortical adenoma
renal cell carcinoma
url http://www.sciencedirect.com/science/article/pii/S1930043321007548
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