副腎嚢腫の1例

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A 30-year-old female had a radical operation for malignant melanoma on the right buccal on Feb. 18, 1981. When she was examined for metastasis of the malignant melanoma to other organs, plain film of the abdomen showed sandy calcifications in the left suprarenal region. Echography, CT scan, adrenal scintigraphy and angiography were done. She was highly suspected of having a left adrenal cyst, but, the possibility of metastasis of malignant melanoma to the adrenal gland could not be totally excluded. On June 24, 1981, an exploratory operation was done. The left suprarenal mass was removed through a left flank incision. The macroscopic view of the specimen showed a left multilobular adrenal cyst which was 4cm in diameter and contained yellow fluid. Histological findings showed that the wall of the cyst was lined by endothelial cells and that the lymphatic vessels in the adjacent adrenal tissue were dilated. Histological diagnosis was a lymphangiomatous adrenal cyst. This case was the 48th case of adrenal cyst in the Japanese literature.
泌尿器科紀要刊行会の論文