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 UNUSUAL CASE
Year : 2021  |  Volume : 17  |  Issue : 3  |  Page : 389-391

Ganglioneuroma presenting as an adrenal incidentaloma: Feasibility of adrenal-sparing surgery


Department of Urology, All India Institute of Medical Science, Rishikesh, Uttarakhand, India

Correspondence Address:
Dr. Ankur Mittal
Department of Urology, All India Institute of Medical Science, Rishikesh - 249 202, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_147_20

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Adrenal ganglioneuromas (GNs) are very rare tumours that originate from neural crest cells. Most of the time, they are diagnosed incidentally as they are usually non-functional and remain asymptomatic. Nowadays, they are being detected more often due to better availability of imaging facilities such as computed tomography (CT)/magnetic resonance imaging (MRI). Minimally invasive adrenalectomy (laparoscopic or robotic) remains the standard of care for such lesions. Hereby, we report a case of a 15-year-old young girl with right adrenal incidentaloma which was diagnosed on CT with the features suggestive of GN. She underwent robot-assisted excision of the mass with adrenal-sparing surgery. Histopathology revealed benign GN and no adjuvant treatment was required. As GN is not known for recurrence or metastasis, minimal invasive adrenal-sparing surgery should be a preferred modality of choice.






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