A rare case of co-secreting adrenocortical oncocytoma

Abstract

Here we present a rare case of a large co-secreting adrenocortical oncocytoma undergoing laparoscopic retroperitoneal-to-open removal. Our case was referred for surgical opinion as a result of a left suprarenal mass being identified as part of a work-up for new onset hirsutism and post-menopausal bleeding. We provide example of our surgical approach as well as discussion on this unique adrenal tumour variant.

Fig. 1

Coronal CT of an 8 × 8 × 9.2cm left suprarenal mass.

Fig. 2

Post-operative uncut specimen.

Fig. 3

Left - Microscopic image of specimen. Area of necrosis identified toward left of the slide, with transition to layered sheets of oncocytic cells toward the right. Right - Macroscopic cut image of specimen with bright yellow tissue and other fleshy/tan areas and zones of haemorrhage. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)