RESUMEN
<p><b>BACKGROUND</b>Alveolar echinococcosis located in the adrenal gland can be considered a rare and aggressive infestation that radiologically and macroscopically mimics a malignant neoplasm. Its pathogenesis is poorly understood. This paper describes its clinical and radiological aspects and discusses its proper management.</p><p><b>METHODS</b>The records of two patients with adrenal gland alveolar echinococcosis who were diagnosed and treated in our center in 2009 were evaluated.</p><p><b>RESULTS</b>Neither patient showed any signs of recurrence following radical surgical treatment and postoperative oral anthelmintic therapy.</p><p><b>CONCLUSION</b>Radical surgery can be a feasible, effective management option that results in a good prospective outcome.</p>