Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Large Adrenal Ganglioneuroma
Shugo SasakiTetsuyuki YasudaHideaki KanetoMichio OtsukiYukiko TabuchiYukari FujitaFumiyo KuboMayumi TsujiKeiko FujisawaRyuichi KasamiTetsuhiro KitamuraTakeshi MiyatsukaNaoto KatakamiDan KawamoriTaka-aki MatsuokaAkihisa ImagawaIichiro Shimomura
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JOURNAL OPEN ACCESS

2012 Volume 51 Issue 17 Pages 2365-2370

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Abstract

We herein report the case of a 41-year-old male patient with an incidentally identified large adrenal ganglioneuroma (GN). His endocrine examinations were normal except for one episode of elevated urinary dopamine and noradrenaline levels. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a large solid tumor with calcifications and a slightly lobular edge in the right adrenal gland. We performed open tumor excision and diagnosed it as adrenal ganglioneuroma. Adrenal GN is a rare benign tumor, and its hormonal activity and imaging characteristics are occasionally very similar to those of other adrenal tumors. Therefore, it needs careful evaluation by endocrine examinations and multiple imaging procedures to rule out other types of tumors.

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© 2012 by The Japanese Society of Internal Medicine
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