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Adrenal Cyst

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Ruben D. Urena – One of the best experts on this subject based on the ideXlab platform.

  • LAPAROSCOPIC MANAGEMENT OF SYMPTOMATIC AND LARGE Adrenal CystS
    The Journal of urology, 2005
    Co-Authors: Octavio A. Castillo, Juan P. Litvak, Marcelo Kerkebe, Ruben D. Urena
    Abstract:

    ABSTRACTPurpose:: We present the feasibility and results of the laparoscopic management of symptomatic and large Adrenal Cysts.Materials and Methods:: From June 1993 to April 2004 we performed 149 laparoscopic Adrenalectomies. In this series 8 patients with symptomatic Adrenal Cysts or pseudoCysts were treated laparoscopically. Surgical indications for laparoscopic management of Adrenal Cysts were abdominal pain in 5 cases and Cyst size 5 cm or greater in 3.Results:: The incidence of Adrenal Cyst was 5.4% (8 of 149 cases). Six patients underwent laparoscopic Adrenal Cyst decortication and marsupialization, 1 underwent laparoscopic partial Adrenalectomy and 1 underwent laparoscopic Adrenalectomy. Mean operative time was 77.5 minutes. There were no intraoperative or postoperative complications. Mean hospital stay was 1.7 days. At a mean followup of 18.5 months all patients were asymptomatic and without radiographic evidence of Cyst recurrence.Conclusions:: Laparoscopic conservative management of Adrenal cys…

Hu Wei-lie – One of the best experts on this subject based on the ideXlab platform.

  • The Diagnosis and treatment of Adrenal Cyst(Report of 8 Cases)
    Journal of Gannan Medical University, 2009
    Co-Authors: Hu Wei-lie
    Abstract:

    Objective:To study the diagnosis and treatment of Adrenal Cyst(AAC).Methods: 8 cases of Adrenal Cyst were retrospectively studied and discussed with review of the literature.Results: All of these patients underwent operation,2 patients were treated under open sergery and 6 patients under retrolaparoscopic resection,all cases were confirmed by pathology inspection,6 endothelial Cysts,1 epithelial Cysts,1 psuedoCysts.Conclusions: The preoperative correct diagnosis of Adrenal Cyst could be improved by using IVU,B-US,CT and MRI.Laparoscopic resection of Adrenal Cyst was the first choice for surgical treatments.

Krishna Balachandran – One of the best experts on this subject based on the ideXlab platform.

  • Giant Adrenal Cyst : Epithelial Variant, A Rare Entity
    Kerala Medical Journal, 2018
    Co-Authors: S Vasudevan, Amit Kumar, Kaustubh Suhas Vaidya, Krishna Balachandran
    Abstract:

    Adrenal Cystic lesions are a rare entity encountered in clinical practice. They can be classified into 4 types – endothelial, pseudoCyst, epithelial and parasitic. It is mostly asymptomatic and non-functional. Lack of definite laboratory and radiological diagnostic criteria makes it difficult to establish their diagnosis preoperatively and excision is needed in most cases. Laparoscopic Adrenalectomy is the treatment of choice although small, benign, asymptomatic, non functional lesions can be aspirated or put on surveillance. Epithelial Cyst is one of the rare types of Adrenal Cyst comprising only 9% of all Adrenal Cysts with most of the benign Cysts less than 7 cm. Hereby illustrating a rare case of incidentally diagnosed giant epithelial Adrenal Cyst, the incidence of which has been less than hundred in the literature reported so far

Octavio A. Castillo – One of the best experts on this subject based on the ideXlab platform.

  • LAPAROSCOPIC MANAGEMENT OF SYMPTOMATIC AND LARGE Adrenal CystS
    The Journal of urology, 2005
    Co-Authors: Octavio A. Castillo, Juan P. Litvak, Marcelo Kerkebe, Ruben D. Urena
    Abstract:

    ABSTRACTPurpose:: We present the feasibility and results of the laparoscopic management of symptomatic and large Adrenal Cysts.Materials and Methods:: From June 1993 to April 2004 we performed 149 laparoscopic Adrenalectomies. In this series 8 patients with symptomatic Adrenal Cysts or pseudoCysts were treated laparoscopically. Surgical indications for laparoscopic management of Adrenal Cysts were abdominal pain in 5 cases and Cyst size 5 cm or greater in 3.Results:: The incidence of Adrenal Cyst was 5.4% (8 of 149 cases). Six patients underwent laparoscopic Adrenal Cyst decortication and marsupialization, 1 underwent laparoscopic partial Adrenalectomy and 1 underwent laparoscopic Adrenalectomy. Mean operative time was 77.5 minutes. There were no intraoperative or postoperative complications. Mean hospital stay was 1.7 days. At a mean followup of 18.5 months all patients were asymptomatic and without radiographic evidence of Cyst recurrence.Conclusions:: Laparoscopic conservative management of Adrenal cys…

Barbara Gornicka – One of the best experts on this subject based on the ideXlab platform.

  • Adrenal Cyst with both mullerian and mesothelial differentiation a clinicopathological and immunohistochemical study with implications for histogenesis
    Histology and Histopathology, 2017
    Co-Authors: łukasz Koperski, Benedykt Szczepankiewicz, Pawel Pihowicz, łukasz Fus, Ewa Wolinska, Barbara Gornicka
    Abstract:

    True epithelial-lined Cysts are rare forms of Adrenal Cystic lesions, the pathogenesis of which is still not fully understood. In this report we present a case of an Adrenal Cyst diagnosed incidentally on imaging in a 31-year-old, previously healthy, obese woman. Due to non-specific hormonal disorders and enlargement of the lesion, a right-sided laparoscopic Adrenalectomy was performed. The Cyst was lined predominantly by ciliated cuboidal-to-columnar, Mullerian-type epithelium, and focally by flat-to-cuboidal, mesothelium-like lining. Immunohistochemistry demonstrated a strong positive reaction in the cells of both types of lining for CKAE1+E3, CK19, CK7 and WT1, and both had a negative reaction for CK20, CD34, Melan-A, SF1, TTF1, SMA and CDX2. The cells of the ciliated cuboidal-to-columnar epithelium were strongly positive for PAX8, ER, Ep-CAM and EMA, focally positive for PR, and were negative for calretinin, whereas the cells of the flat-to-cuboidal lining were positive for calretinin and podoplanin and showed only a weak positive response in individual cells for PAX8, EMA and Ep-CAM, but were negative for ER and PR. This is the first reported case of an Adrenal ciliated epithelial Cyst with Mullerian differentiation (confirmed immunohistochemically) in the English literature. The differences in morphology and immunophenotype of the two types of lining (epithelial Mullerian phenotype versus mesothelial phenotype), suggest that some Adrenal epithelial Cysts probably form due to metaplasia of mesothelium-derived lining. A similar mechanism may also be involved in the pathogenesis of at least some of the so-called Mullerian Cysts (or inclusions) in other locations.