Abstract：
In this case report, we present a man in his 60s who presented with an incidentally discovered right adrenal mass, which turned out to be an adrenal schwannoma. This is a very rare tumour that originates from Schwann cells and involves the peripheral nerves. The tumour was removed by open adrenalectomy, and this 15-cm adrenal schwannoma is one of the largest reported in the literature, with none >16 cm having ever been reported. This case highlights the importance of keeping an open mind about the cause of an incidentally discovered adrenal mass, which is an increasingly common way for adrenal tumours to present given the increased access to cross-sectional imaging. As well as presenting the case and the pathological basis behind adrenal schwannomas, we include a review of the literature and a general discussion about incidentally discovered adrenal masses.
摘要：
在这个案例报告中,我们展示了一个60多岁的男人，他偶然发现了一个右肾上腺肿块，结果是肾上腺神经鞘瘤.这是一种非常罕见的肿瘤，起源于雪旺氏细胞，并涉及周围神经。肿瘤是通过开放肾上腺切除术切除的，这种15厘米长的肾上腺神经鞘瘤是文献中报道的最大的肾上腺神经鞘瘤之一，没有>16厘米的报道。这个案例强调了对偶然发现的肾上腺肿块的原因保持开放心态的重要性，鉴于横截面成像的访问增加，这是肾上腺肿瘤呈现的一种越来越常见的方式。除了介绍病例和肾上腺神经鞘瘤背后的病理基础外，我们包括对文献的回顾和对偶然发现的肾上腺肿块的一般性讨论。
