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A rare cavernous hemangioma of the adrenal gland.
[adrenal incidentaloma]
Cavernous
hemangiomas
of
the
adrenal
gland
are
rare
.
We
report
a
case
of
a
cavernous
hemangioma
of
the
adrenal
gland
presenting
as
an
adrenal
incidentaloma
suspicious
for
adrenal
cortical
carcinoma
(
ACC
)
.
A
78
year
old
woman
was
admitted
after
a
fall
.
Abdominal
computed
tomography
revealed
a
large
right
adrenal
lesion
with
features
suspicious
for
adrenal
cortical
carcinoma
(
5
.
4
cm
×
3
.
3
cm
,
unilateral
,
tumor
calcifications
,
average
Hounsfield
units
55
)
.
The
tumor
was
removed
intact
by
a
laparoscopic
approach
and
pathology
revealed
a
cavernous
hemangioma
of
the
adrenal
gland
.
Adrenal
incidentalomas
are
found
in
up
to
10
%
of
patients
undergoing
abdominal
imaging
.
Differential
diagnosis
includes
both
benign
and
malignant
lesions
.
Guidelines
for
removal
of
adrenal
incidentalomas
recommend
surgery
based
on
functional
status
,
size
,
and
presence
of
concerning
features
on
diagnostic
imaging
.
Cavernous
hemangiomas
are
rare
,
benign
vascular
malformations
which
can
be
challenging
to
distinguish
pre-operatively
from
malignant
lesions
such
as
ACC
.
Cavernous
hemangiomas
of
the
adrenal
gland
are
exceedingly
rare
.
These
benign
tumors
have
imaging
features
which
may
be
suggestive
of
adrenal
cortical
carcinoma
.
The
treatment
of
choice
is
surgical
excision
due
the
difficulty
of
excluding
malignancy
.
Diseases
Validation
Diseases presenting
"adrenal cortical carcinoma"
symptom
adrenal incidentaloma
cushing syndrome
von hippel-lindau disease
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