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Ganglioneuroma presenting as an adrenal incidentaloma: a case report.
[adrenal incidentaloma]
Ganglioneuromas
are
rare
benign
tumors
arising
from
the
neural
crest
tissue
and
are
most
commonly
located
in
the
posterior
mediastinum
and
retroperitoneum
;
they
are
rarely
found
in
the
adrenal
gland
.
This
tumor
is
usually
asymptomatic
and
in
the
majority
of
cases
is
detected
incidentally
.
Although
the
characteristics
of
adrenal
ganglioneuroma
on
computerized
tomography
and
magnetic
resonance
imaging
have
been
well
described
,
the
exact
diagnosis
is
difficult
.
Histopathological
examination
is
currently
the
mainstay
of
diagnosis
.
Ganglioneuromas
have
a
very
good
prognosis
with
surgical
removal
.
We
report
the
case
of
a
male
patient
with
an
incidentally
identified
adrenal
ganglioneuroma
with
high
standardized
uptake
values
in
a
positron
emission
tomography
scan
.
An
18
-
year
-old
Turkish
male
patient
with
no
previous
comorbidities
was
admitted
to
our
hospital
with
lower-quadrant
pain
.
He
had
no
significant
past
medical
or
surgical
history
.
A
physical
examination
did
not
reveal
any
signs
and
the
results
of
routine
laboratory
tests
were
all
within
the
normal
ranges
.
Our
patient
underwent
computed
tomography
of
his
abdomen
,
which
showed
a
relatively
homogenous
left
adrenal
tumor
measuring
5
.
2
×
4
.
3
×
7
.
1
cm
.
On
a
positron
emission
tomography
scan
,
the
left
adrenal
gland
disclosed
a
standardized
uptake
value
of
4
.
1
.
Our
patient
underwent
an
exploratory
laparotomy
with
left
adrenalectomy
without
any
related
complications
.
Ganglioneuroma
may
sometimes
be
similar
to
other
adrenal
malignancies
.
Careful
evaluation
with
endocrine
tests
and
imaging
procedures
is
necessary
to
provide
an
accurate
diagnosis
.
Definitive
diagnosis
can
be
made
by
histological
examination
.
The
prognosis
is
very
good
with
surgical
removal
.
Diseases
Validation
Diseases presenting
"incidentally identified adrenal ganglioneuroma"
symptom
adrenal incidentaloma
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