A case of adrenal cystic lymphangioma

Lee, Chang Hun; Kim, Hyun Jung; Ahn, Yong Hwan; Im, Chong Ju; Park, Byoung Hyun; Cho, Chung Gu

Abstract

Cystic lesions of adrenal gland are rare and those are most often identified incidentally during radiological investigation, surgery for unrelated process or at the time of autopsy. Most of cystic lesions are usually asymptomatic and less than 10 cm in diameter. Clinical management of an adrenal cyst can be aided by the imaging findings. Surgery is indicated for large and complicated cysts, parasitic cysts, uncertain cyst, and functioning or malignant cysts. We present a case of a 36-year-old female with the benign and non-functioning cyst that was detected by clinical assay and imaging study. The 4 X 2 cm right adrenal cyst contained linear calcification and septation. Laparoscopic resection and histologic findings were compatible with epithelial cyst of lymphangiomatous type of adrenal gland. With this case, diagnostic features of adrenal cysts are discussed.