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BMC Urology

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Open Access 01-12-2023 | Adrenalectomy | Case report

Oncocytic adrenocortical neoplasm of borderline uncertain malignant potential diagnosed after robot-assisted adrenalectomy case report

Authors: Chih Peng Chin, Ralph Grauer, Burak Ucpinar, Mani Menon, Qiusheng Si, Ketan K. Badani

Published in: BMC Urology | Issue 1/2023

Abstract

Background

Adrenal incidentalomas are radiologically discovered tumors that represent a variety of pathologies, with the diagnosis clinched only on surgical pathology. These tumors may be clinically monitored, but triggers for surgery include size > 4 cm, concerning features on radiology, or hormonally functioning. Adrenal oncocytic neoplasms (AONs) are notably rare and typically nonfunctional tumors that are discovered as incidentalomas and exist on a spectrum of malignant potential.

Case presentation

We discovered an exceptionally large (15 cm in the greatest dimension) incidentaloma in a 73-year-old man with left back pain and he was treated with robotic-assisted adrenalectomy. Surgical pathology was consistent with AON of borderline uncertain malignant potential; adjuvant mitotane and radiation were omitted based on shared decision-making.

Conclusion

Large AONs are rare, usually benign tumors that can be safely treated with robotic-assisted adrenalectomy. Surgical pathology is the crux of diagnosis and post-operative management, as it informs both the initiation of adjuvant therapy and the stringency of post-operative surveillance.

Available only for authorised users

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Title: Oncocytic adrenocortical neoplasm of borderline uncertain malignant potential diagnosed after robot-assisted adrenalectomy case report
Authors: Chih Peng Chin
Ralph Grauer
Burak Ucpinar
Mani Menon
Qiusheng Si
Ketan K. Badani
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Adrenalectomy
Pathology
Adrenalectomy
Published in: BMC Urology / Issue 1/2023
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/s12894-023-01238-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Oncocytic adrenocortical neoplasm of borderline uncertain malignant potential diagnosed after robot-assisted adrenalectomy case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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