背景:异位肾上腺皮质组织被定义为肾上腺上位置以外的副肾上腺皮质组织的存在。这不是婴儿腹股沟手术期间罕见的发现,然而,它在成年人中的发病率不到1%。
方法:我们报告一例在68岁男性的索脂肪瘤中偶然发现的异位肾上腺组织,择期腹股沟疝修补术。
■在文献中,据报道,大多数异位肾上腺皮质组织病例是在儿童腹股沟手术期间发生的。在生命的最初几年之后,它通常会倒退,但是在一些像我们这样的罕见案例中,它可能会持续到成年。这种情况可能有几个理论上的临床意义,需要外科医生考虑。如果异位肾上腺组织是患者唯一的肾上腺组织,并且在异位持续存在的情况下可能发生肿瘤转化,则可能发生肾上腺功能不全。
结论:然而,研究表明,在切除或持续存在异位肾上腺后,没有内分泌或肿瘤并发症的证据。因此,没有研究或治疗。
BACKGROUND: Ectopic adrenocortical tissue is defined as the presence of accessory adrenal cortex tissue outside the suprarenal location of the adrenal glands. It is not an infrequent finding during inguinal operations in infants, however, its incidence in adults is found to be less than 1 %.
METHODS: We report a case of ectopic adrenal tissue incidentally found in a cord lipoma of a 68-year-old man, presenting for elective inguinal hernia repair.
UNASSIGNED: In the literature, the majority of cases of ectopic adrenocortical tissue are reported during groin surgeries in children. After the first few years of life, it normally regresses, but in a few uncommon cases like ours, it might continue long into adulthood. The condition can have several theoretical clinical implications that need to be considered by surgeons. Adrenal insufficiency can occur if the ectopic adrenal tissue is the only adrenal tissue in the patient along with a potential for neoplastic transformation in cases of persistence of ectopia.
CONCLUSIONS: However, studies have shown no evidence of endocrine or oncologic complications after excision or persistence of the ectopic adrenal gland. Consequently, no investigations or treatments are indicated.