Premium
Intra‐renal adrenal adenoma: A compelling addition to the differential diagnosis of renal mass
Author(s) -
Linder Brian,
Hong Yoon,
Jarrett Thomas
Publication year - 2009
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2009.02372.x
Subject(s) - medicine , differential diagnosis , adrenal adenoma , nephrectomy , pathological , adenoma , renal mass , renal biopsy , biopsy , kidney , radiology , renal tumor , pathology , urology
We report a case of an adrenal rest arising in the kidney of a 37‐year‐old male. An incidental 4.5 cm right upper pole mass with a minimal amount of fat was discovered on computed tomography scan. Laparoscopic renal exploration and biopsy revealed angiomyolipoma on frozen section. However, final pathological analysis of the partial nephrectomy specimen revealed intra‐renal adrenal adenoma. The diagnosis was confirmed by immunohistochemistries and transmission electron microscopy. We review the reported literature on intra‐renal adrenal adenoma and highlight the aspects that raise the index of suspicion for this entity on the differential diagnosis of renal masses.