巨大副腎嚢腫の1例

Abstract

A 58-year-old man was admitted because of a large abdominal mass in the left upper quadrant. There were no remarkable findings on laboratory examinations. The impression was that it was either a renal cyst or an adrenal cyst by various X-ray examinations. On Nov. 21, 1979, a cystic suprarenal mass was removed through the 11th intercostal space incision. Grossly, the surgical specimen measured 27×20×15 cm and contained 3920 ml of yellowish fluid. Histological examination showed the cyst wall to consist of fibrous tissue with an endotherial lining and few dilated lymphatic spaces were seen in the adjoining adrenal tissue. So its histolsgical diagnosis was made as a lymphangiomatous adrenal cyst. It would appear that the present case is now the largest on record in Japan.