J Korean Surg Soc.  2010 Oct;79(4):306-309. 10.4174/jkss.2010.79.4.306.

Left Adrenal Sarcoidosis

• Cha YS
• Kim HJ
• Lee JC
• Yoo J
• Hwang SS
• Cho HM

• KMID: 2145034
• DOI: http://doi.org/10.4174/jkss.2010.79.4.306

Abstract

We present a 50-year-old woman with left adrenal sarcoidosis. She visited our hospital for right upper quadrant discomfort; she was then evaluated for right upper quadrant discomfort. She had no abnormal findings in the laboratory examination, including hormone study, but a mass was detected at left adrenal gland, incidentally. Initially, we thought the mass as nonfunction adrenal adenoma. After she had undergone laparoscopic left adrenalectomy, she was diagnosed with left adrenal sarcoidosis from her histological findings. Adrenal sarcoidosis is a very rare disease. This case provides insight to the experience of left adrenal sarcoidosis.

Keyword

Sarcoidosis; Extrapulmonary; Adrenal gland

MeSH Terms

Adenoma
Adrenal Glands
Adrenalectomy
Female
Humans
Middle Aged
Rare Diseases
Sarcoidosis

Figure

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  Fig. 1 Chest X-ray. There is no abnormal finding.

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  Fig. 2 Abdominal CT. There is multi-nodular thickening of left adrenal gland (less than 2×1.4 cm) suggesting adrenal adenoma or malignant lesion.

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  Fig. 3 PET CT. Images showed a 2×1.4 cm sized mass with increased FDG uptake (mSUV of 7.9) at left adrenal gland, suggesting malignant tumor at left adrenal gland.

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  Fig. 4 The specimen consists of a portion of tan-colored tissue, measuring 5.5×3.2×2.2 cm.

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  Fig. 5 There are noncaseating granulomas mainly composed of epithelioid cell, with scattered Langhans' giant cells and lymphocytes. Necrosis is absent and no organisms were identified. At the periphery of the lesion, the adrenal cortex is seen (H&E, ×200).

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