INTRODUCTION: @entity2477 of the adrenal gland is a rare @entity5 . The diagnosis is often postoperative on histological exam with the presence of blood-filled, dilated vascular spaces. PRESENTATION OF CASE: We report the clinical case of a 49 years-old @entity1 who came to our observation with aspecific @entity490 . A computed tomography (CT) abdominal scan revealed a 11cm right adrenal mass. This lesion was well circumscribed, round, encapsulated. After iodinated-contrast we observed a progressive, inhomogeneous enhancement without evidence of active @entity548 and with pre-operative diagnosis of @entity774 . Laparoscopic adrenalectomy was performed by a transperitoneal flank approach. Pathological examination revealed a 11cm adrenal mass with @entity39 mixed to @entity384 and fibrotic septa. Postoperative diagnosis was @entity774 . DISCUSSION: @entity774 occur infrequently. Generally these adrenal masses are non-functioning and there is no specific symptoms. Recent records demonstrate that laparoscopic adrenalectomy is technically safe and feasible for large @entity5 , but controversy exists in cases of suspected @entity5 . We choose laparoscopic approach to adrenal gland on the basis of preoperative CT abdominal scan that excludes radiological signs of @entity1636 ( @entity1636 ) such as peri-adrenal infiltration and vascular invasion. CONCLUSION: Laparoscopic adrenalectomy is considered the standard treatment in case of diagnosis of benign lesions. In this case report we discussed a large adrenal @entity2477 treated with laparoscopic approach. Fundamental is the study of @entity4903 and radiologic findings to exclude signs of @entity5 .

Large XXXX of the adrenal gland: Laparoscopic treatment. Report of a case.

@entity1 :: ('9606', 'Species') :: ['woman'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity39 :: ('MESH:D009336', 'Disease') :: ['extensive central necrotic areas'] @entity5 :: ('MESH:D009369', 'Disease') :: ['adrenal tumors', 'benign tumor', 'malignancy'] @entity384 :: ('MESH:D002311', 'Disease') :: ['sinusoidal dilation'] @entity1636 :: ('MESH:D018268', 'Disease') :: ['ACC', 'adrenocortical carcinoma'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity2477 :: ('MESH:D006392', 'Disease') :: ['cavernous hemangioma', 'Cavernous hemangioma'] @entity4903 :: ('MESH:D004700', 'Disease') :: ['preoperative endocrine disorders'] @entity774 :: ('MESH:D000312', 'Disease') :: ['adrenal hemangioma', 'Adrenal hemangiomas']
@entity2477 :: (MESH:D006392,Disease) :: ['cavernous hemangioma']
