Adrenal Schwannoma Treated with Open Adrenalectomy: a Case Report

We report a rare case of a right adrenal schwannoma in a 68-year-old man. The clinical evaluation was unremarkable and the radiological examination revealed a suprarenal mass lesion on ultrasonography (USG). CT revealed a right adrenal mass which was purported to be likely malignant. Ri ght adrenalectomy was performed by the open approach along with excision of the surrounding enlarged lymph nodes. The postoperative course was uneventful. HPE established the adrenal mass to be a schwannoma, a benign tumor arising from Schwann cells, an exceedingly unusual occurrence in the adrenal glands. A non-secreting adrenal mass can be easily misjudged and the exact diagnosis of the lesion cannot be made sure of without both radiologic and pathologic confirmation. Unilateral adrenal primary or metastatic lesions need pathological confirmation as it can dramatically affect prognosis. Unus ual tumors of the adrenal gland like schwannomas may be found incidentally or otherwise and will generate difficulties in establishing the right management. Complete excision is the treatment of choice whenever feasible and will also clarify pathology.
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research