Keywords
Pseudoglandular myxoid; Adenoma; Incidentaloma; Adrena
Abstract
Myxoidal tumors of the adrenal cortex are rare. The first case was reported in 1979. Until 2008, 20 cases were reported, of which 11 were carcinomas and 9 were adenomas. We report the case of a 40-year-old patient with no specific history who had left nephritic colic. The uroscanner revealed the presence of an adrenal mass of 5 cm long axis. An incidentaloma diagnosis was made with a left adrenalectomy decision. Histological examination showed a tumor proliferation made of tubes of variable size, bordered by cubic and cubo-cylindrical cells with eosinophilic cytoplasm and nucleus without atypies and without visible mitoses. This proliferation is surrounded by a capsule with the persistence of a thin rim around the periphery of normal adrenal parenchyma. The immunohistochemical study is in favor of an adrenocortical adenoma. In conclusion, the histological features of pseudoglandular myxoid adenoma are often clean for a primitive adrenal tumor even though they may be superficially interpreted as metastatic adenocarcinoma
Citation
Kessab A, Allaoui M, Elochi MR, Al Bouzidi A and Oukabli M. Pseudoglandular and Myxoide Adenoma of Adrenal: Case Report. SM J Clin Pathol. 2018; 3(1): 1017.