Ca lâm sàng: U hạch thần kinh tuyến thượng thận phát hiện tình cờ

Abstract

Ganglioneuromas (GNs), benign tumors of sympathetic neuvous systems 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, asymptomatic and incidentaloma in almost cases. Although GNs is benign but it can grow and cause compression, so surgery is the optimal treatment method. It is complicated to diagnose exactly before surgering, difficult distinction with adrenal cortical carcinoma. Postoperatively, there is no need for adjuvant therapy in patients with adrenal GNs and their progonist is excellent. We report the clinical case describing adrenal ganglioneuroma, without exact diagnosis and the exception of adrenal cortical carcinoma. Postoperation, the patient has a good recover. Histopathological examination is required in order to confirm the diagnosis of GNs. Conclusion: Adrenal ganglioneuroma is benign, occurs rarely and preoperative diagnosis is difficult, thus surgery is the gold standard for the treatment and histopathological examination is the mainstay of diagnosis.