Man 26yo, ultrasound of abdomen for screening incidentally detected one mass of 5 cm at the right adrenal gland area.
US1= longitudinal scanning of this tumor at upper area of right kidney, well bordered.
US2= CDI of this mass pulled down right kidney.
US3= crossed section of this mass is well bordered under liver near IVC.
US4= very small vascular signals in mass.
- US5= elastoscanning of this mass: very hard 32 kPa in comparison to liver = 9.3 kPa.
Sonologist reported solid adrenal tumor for this mass.
MSCT revealed:
CT 1= this mass is hypodense like a cyst.
MSCT with CE, CT 2= this mass is very low enhancement.
CT 3= crossed section and sagittal scanning like a cyst of adrenal tumor.
Blood tests : no abnornal of cortico-medullary adrenal function.
Pre-op suggestion of surgeon is cyst of adrenal gland.
OPERATION REMOVED THIS TUMOR COMPLETLY. MACROSCOPIC SPECIMEN WAS WHITE AND HARD STRUCTURE, SECTION SURFACE SWELLED UP.MICROSPIC REPORT IS PARAGANGLION NEUROMA, BENIGN TUMOR.