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Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor
Adrenal ganglioneuromas are rare tumors arising from sympathetic ganglion cells that may present similarly to other adrenal tumors, making preoperative diagnosis challenging. We present a case of a young woman with a history of Hashimoto's thyroiditis who presented with hypertension and headach...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321198/ https://www.ncbi.nlm.nih.gov/pubmed/37415991 http://dx.doi.org/10.7759/cureus.39977 |
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author | Eldin, Maya M Daum, Rachel E Kumar, Pratima Uecker, John |
author_facet | Eldin, Maya M Daum, Rachel E Kumar, Pratima Uecker, John |
author_sort | Eldin, Maya M |
collection | PubMed |
description | Adrenal ganglioneuromas are rare tumors arising from sympathetic ganglion cells that may present similarly to other adrenal tumors, making preoperative diagnosis challenging. We present a case of a young woman with a history of Hashimoto's thyroiditis who presented with hypertension and headaches. An abdominal CT scan revealed a large left adrenal mass, and while laboratory tests for catecholamines and metanephrines were normal, the suspicion for pheochromocytoma remained high given the size of the mass and persistent hypertension. The patient was started on alpha-blockers and beta-blockers in preparation for surgical removal. Pathology revealed a mature ganglioneuroma without evidence of malignancy, and postoperative blood pressure was normalized. We hypothesize that vessel compression from the large mass created functional stenosis, resulting in persistent hypertension. This case highlights the importance of a thorough workup for hypertension in young adults and routine preventative care visits to avoid delayed management. Adrenalectomy with histopathological examination remains the gold standard for treatment and diagnosis, and patients have a good prognosis following resection, with minimal need for recurrent therapy. |
format | Online Article Text |
id | pubmed-10321198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103211982023-07-06 Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor Eldin, Maya M Daum, Rachel E Kumar, Pratima Uecker, John Cureus Endocrinology/Diabetes/Metabolism Adrenal ganglioneuromas are rare tumors arising from sympathetic ganglion cells that may present similarly to other adrenal tumors, making preoperative diagnosis challenging. We present a case of a young woman with a history of Hashimoto's thyroiditis who presented with hypertension and headaches. An abdominal CT scan revealed a large left adrenal mass, and while laboratory tests for catecholamines and metanephrines were normal, the suspicion for pheochromocytoma remained high given the size of the mass and persistent hypertension. The patient was started on alpha-blockers and beta-blockers in preparation for surgical removal. Pathology revealed a mature ganglioneuroma without evidence of malignancy, and postoperative blood pressure was normalized. We hypothesize that vessel compression from the large mass created functional stenosis, resulting in persistent hypertension. This case highlights the importance of a thorough workup for hypertension in young adults and routine preventative care visits to avoid delayed management. Adrenalectomy with histopathological examination remains the gold standard for treatment and diagnosis, and patients have a good prognosis following resection, with minimal need for recurrent therapy. Cureus 2023-06-05 /pmc/articles/PMC10321198/ /pubmed/37415991 http://dx.doi.org/10.7759/cureus.39977 Text en Copyright © 2023, Eldin et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Endocrinology/Diabetes/Metabolism Eldin, Maya M Daum, Rachel E Kumar, Pratima Uecker, John Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title | Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title_full | Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title_fullStr | Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title_full_unstemmed | Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title_short | Adrenal Ganglioneuroma: Diagnosis, Presentation, and Management of a Rare Tumor |
title_sort | adrenal ganglioneuroma: diagnosis, presentation, and management of a rare tumor |
topic | Endocrinology/Diabetes/Metabolism |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321198/ https://www.ncbi.nlm.nih.gov/pubmed/37415991 http://dx.doi.org/10.7759/cureus.39977 |
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