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Indian Journal of Pathology and Oncology


Incidentaloma: An Incidentally discovered adrenal mass; a study of two cases


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Author Details: Aditi Das, Renuka Gahine

Volume : 3

Issue : 1

Online ISSN : 2394-6792

Print ISSN : 2394-6784

Article First Page : 115

Article End Page : 119


Abstract

Background: “Incidentaloma” is an adrenal mass, generally 1 cm or more in diameter, discovered serendipitously during radiological imaging performed for indications other than an evaluation for adrenal disease.
Case presentation: We present two cases for their rare presentation as incidentalomas. First case was incidentally discovered adrenal myelolipoma in a 47 year female. Another case was incidentally discovered adrenocortical carcinoma in a 53 year female who initially presented with abdominal pain and deep vein thrombosis. On routine abdominal ultrasonography, adrenal mass was discovered in both the cases and subsequent pathological evaluation revealed diagnosis.
Conclusion: These cases highlights the importance of thorough investigation to rule out the possibility of lethal malignancy. The evaluation of incidentalomas focuses on identifying functional masses & treating or resecting them appropriately; identifying adrenal carcinomas early with the intent of attempting complete surgical extirpation; and also to reassure the patients whose masses are neither functional nor malignant.

Keywords:
adrenal, adrenocortical carcinoma, incidentaloma, myelolipoma