Hemangioma del glande de pene / Hemangioma of the glans penis

No disponible

Adrenal cavernous hemangioma: is presurgical diagnosis with imaging test possible.

OBJECTIVE: To describe a case of adrenal cavernous hemangioma in a 67 year old man who presented left lumbar pain. METHODS: Abdominal ultrasound, contrast enhanced ultrasound of the lesion, abdominal-pelvic CT scan, and then left adrenalectomy and pathology were performed RESULTS: Imaging studies showed a large solid-cystic mass with 12 × 11 cm diameters in the left adrenal gland, well defined, with calcifications, which showed peripheral arterial globular contrast enhancement on CT and ultrasound. The lesion displaced neighboring structures without other findings in the abdominopelvic study. The pathology report after adrenalectomy was: cavernous hemangioma with calcifications, ossifications and necrosis. CONCLUSIONS: Cavernous hemangioma is a rare cause of adrenal mass. The globular peripheral contrast uptake and gradual filling of the lesion on dynamic imaging studies (Ultrasound or CT) and phlebolith type calcifications suggest the diagnosis of typical angioma. However, the presence of thrombosis, necrosis and calcifications in large lesions confer an unusual dynamic behavior and force pathology for definitive diagnosis.

Hemangioma cavernoso suprarrenal: ¿es posible un diagnóstico preoperatorio mediante imagen? / Adrenal cavernous hemangiona: is presurgical diagnosis with imaging tests possible

OBJETIVO: Describir un caso de hemangioma cavernoso suprarrenal en un paciente de 67 años que presentaba dolor lumbar izquierdo. MÉTODOS: Se realizó ecografía abdominal, ecografía de la lesión con ecopotenciador y TC multidetector abdomino-pélvico. Se practicó suprarrenalectomía izquierda y estudio histológico. RESULTADOS: En las pruebas de imagen se apreció en el área suprarrenal izquierda una gran masa sólido-quística de 12 x 11 cm de diámetro, bien delimitada, con calcificaciones groseras, que presentaba realce arterial de contraste y de ecopotenciador de morfología globular en su porción periférica. Dicha lesión desplazaba estructuras vecinas sin infiltrarlas, siendo el resto del estudio abdominopélvico normal. El resultado de la pieza de suprarrenalectomía fue: hemangioma cavernoso con calcificación, osificación y necrosis. CONCLUSIONES: El hemangioma cavernoso es una causa rara de masa suprarrenal. La captación periférica globular de contraste iodado o de ecopotenciador y relleno progresivo de la lesión en el estudio dinámico de imagen (Eco o TC) así como las calcificaciones tipo “flebolitos” sugieren el diagnóstico de angioma típico. Sin embargo la presencia de trombosis-necrosis y calcificaciones en lesiones de gran tamaño le confieren un comportamiento dinámico atípico y obligan al estudio anatomopatológico para establecer un diagnóstico definitivo(AU)

OBJECTIVE: To describe a case of adrenal cavernous hemangioma in a 67 year old man who presented left lumbar pain. METHODS: Abdominal ultrasound, contrast enhanced ultrasound of the lesion, abdominal-pelvic CT scan, and then left adrenalectomy and pathology were performed. RESULTS: Imaging studies showed a large solid-cystic mass with 12 x 11 cm diameters in the left adrenal gland, well defined, with calcifications, which showed peripheral arterial globular contrast enhancement on CT and ultrasound. The lesion displaced neighboring structures without other findings in the abdominopelvic study. The pathology report after adrenalectomy was: cavernous hemangioma with calcifications, ossifications and necrosis. CONCLUSIONS: Cavernous hemangioma is a rare cause of adrenal mass. The globular peripheral contrast uptake and gradual filling of the lesion on dynamic imaging studies (Ultrasound or CT) and phlebolith type calcifications suggest the diagnosis of typical angioma. However, the presence of thrombosis, necrosis and calcifications in large lesions confer an unusual dynamic behavior and force pathology for definitive diagnosis(AU)