Insights into diagnosis and management of giant adrenal pseudocysts.
Assef Jawaada, Joseph Lehmann, Patrick Klang et al.
✦ AI-curated · Sources linked
Case in brief
A young man presented with headaches and mild anaemia, leading to imaging that revealed a giant left adrenal cystic lesion measuring 19×15×15 cm. Despite indeterminate CT findings, PET imaging suggested a benign nature. A multidisciplinary team recommended excision due to the lesion's size and risk of rupture, and open adrenalectomy confirmed it as a benign pseudocyst.
Diagnostic / clinical pearl
Giant adrenal pseudocysts can mimic malignant tumors on imaging, necessitating careful evaluation and multidisciplinary input to avoid misdiagnosis.
Why it matters
This case underscores the importance of multimodality imaging in differentiating between benign and malignant adrenal lesions, which can significantly impact management decisions.