Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor
Objective. To report the unusual case of an adrenal lymphangioma presenting in a patient with an adrenal cystic lesion and biochemical testing concerning for pheochromocytoma. The pertinent diagnostic and imaging features of adrenal lymphangiomas are reviewed. Methods. We describe a 59-year-old pati...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2015/380151 |
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| author | Israel Hodish Lindsay Schmidt Andreas G. Moraitis |
| author_facet | Israel Hodish Lindsay Schmidt Andreas G. Moraitis |
| author_sort | Israel Hodish |
| collection | DOAJ |
| description | Objective. To report the unusual case of an adrenal lymphangioma presenting in a patient
with an adrenal cystic lesion and biochemical testing concerning for pheochromocytoma. The pertinent diagnostic and imaging features of adrenal lymphangiomas are reviewed. Methods. We describe a 59-year-old patient who presented with hyperhidrosis and a 2.2 by 2.2 cm left adrenal nodule. Biochemical evaluation revealed elevated plasma-free normetanephrine, urine normetanephrine, urine vanillylmandelic acid, and urine norepinephrine levels. Elevated plasma norepinephrine levels were not suppressed appropriately with clonidine administration. Results. Given persistent concern for pheochromocytoma, the patient underwent adrenalectomy. The final pathology was consistent with adrenal lymphangioma. Conclusions. Lymphangiomas are benign vascular lesions that can very rarely occur in the adrenal gland. Imaging findings are generally consistent with a cyst but are nonspecific. Excluding malignancy in patients presenting with adrenal cysts can be difficult. Despite its benign nature, the diagnosis of adrenal lymphangioma may ultimately require pathology. |
| format | Article |
| id | doaj-art-f37ad4ba90b64464b1070bff8adbd75f |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-f37ad4ba90b64464b1070bff8adbd75f2025-02-03T06:07:00ZengWileyCase Reports in Endocrinology2090-65012090-651X2015-01-01201510.1155/2015/380151380151Adrenal Lymphangioma Masquerading as a Catecholamine Producing TumorIsrael Hodish0Lindsay Schmidt1Andreas G. Moraitis2Division of Internal Medicine, University of Michigan Medical Center, Ann Arbor, MI 48109, USADepartment of Pathology, University of Michigan, Ann Arbor, MI 48109, USACorcept Therapeutics, Menlo Park, CA 94025, USAObjective. To report the unusual case of an adrenal lymphangioma presenting in a patient with an adrenal cystic lesion and biochemical testing concerning for pheochromocytoma. The pertinent diagnostic and imaging features of adrenal lymphangiomas are reviewed. Methods. We describe a 59-year-old patient who presented with hyperhidrosis and a 2.2 by 2.2 cm left adrenal nodule. Biochemical evaluation revealed elevated plasma-free normetanephrine, urine normetanephrine, urine vanillylmandelic acid, and urine norepinephrine levels. Elevated plasma norepinephrine levels were not suppressed appropriately with clonidine administration. Results. Given persistent concern for pheochromocytoma, the patient underwent adrenalectomy. The final pathology was consistent with adrenal lymphangioma. Conclusions. Lymphangiomas are benign vascular lesions that can very rarely occur in the adrenal gland. Imaging findings are generally consistent with a cyst but are nonspecific. Excluding malignancy in patients presenting with adrenal cysts can be difficult. Despite its benign nature, the diagnosis of adrenal lymphangioma may ultimately require pathology.http://dx.doi.org/10.1155/2015/380151 |
| spellingShingle | Israel Hodish Lindsay Schmidt Andreas G. Moraitis Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor Case Reports in Endocrinology |
| title | Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor |
| title_full | Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor |
| title_fullStr | Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor |
| title_full_unstemmed | Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor |
| title_short | Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor |
| title_sort | adrenal lymphangioma masquerading as a catecholamine producing tumor |
| url | http://dx.doi.org/10.1155/2015/380151 |
| work_keys_str_mv | AT israelhodish adrenallymphangiomamasqueradingasacatecholamineproducingtumor AT lindsayschmidt adrenallymphangiomamasqueradingasacatecholamineproducingtumor AT andreasgmoraitis adrenallymphangiomamasqueradingasacatecholamineproducingtumor |