Adrenal cysts of lymphatic origin: A clinical and pathological study of six cases and systematic literature review

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0
Tipo de produção
article
Data de publicação
2022
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ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE INC
Citação
ANNALS OF DIAGNOSTIC PATHOLOGY, v.57, article ID 151888, 7p, 2022
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Adrenal cysts are rare, benign, and usually asymptomatic, being detected as an incidental finding on imaging methods. Adrenal Cysts of Lymphatic Origin (ACLO) and Adrenal Lymphangiomas (AL) are types of endothelial cyst and are the most prevalent subtype in this series. This study aims to present a single institutional experience of these rare cysts and compare their features with those found in the review of existing literature on ACLO and AL. Overall, thirteen cases of adrenal cysts were diagnosed and surgically excised during the study period, onto which we performed immunohistochemistry using a panel of antibodies (CD31, CD34, Pan Cytokeratin AE-1/AE3, Factor VII, D2-40, and ERG). Four cases of ACLO and two AL were found. The lesions predominantly affected right adrenal, and the majority of patients were middle-age females, of Caucasian ethnicity, and asymptomatic. In our literature review, we found 108 cases of ACLO/AL from 57 articles with similar sex and age distribution. The diagnosis and subclassification of adrenal cysts are challenging, and there is a significant overlapping between the definition of ACLO and AL.
Palavras-chave
Adrenal cyst, Adrenal gland, Adrenal epithelial cyst, Adrenal pseudocyst, Adrenal lymphangioma, Cystic lymphangioma
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