Ganglioneuroma presenting as an adrenal incidentaloma: Feasibility of adrenal-sparing surgery

• Main Authors: Rohit Ranjan, Ankur Mittal, Satish Kumar Ranjan, Vikas Panwar, Harkirat Singh Talwar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: adrenal-sparing surgery; adrenal tumour; adrenalectomy; ganglioneuroma; incidentaloma; robotic surgery
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=389;epage=391;aulast=Ranjan

Adrenal ganglioneuromas (GNs) are very rare tumours that originate from neural crest cells. Most of the time, they are diagnosed incidentally as they are usually non-functional and remain asymptomatic. Nowadays, they are being detected more often due to better availability of imaging facilities such as computed tomography (CT)/magnetic resonance imaging (MRI). Minimally invasive adrenalectomy (laparoscopic or robotic) remains the standard of care for such lesions. Hereby, we report a case of a 15-year-old young girl with right adrenal incidentaloma which was diagnosed on CT with the features suggestive of GN. She underwent robot-assisted excision of the mass with adrenal-sparing surgery. Histopathology revealed benign GN and no adjuvant treatment was required. As GN is not known for recurrence or metastasis, minimal invasive adrenal-sparing surgery should be a preferred modality of choice.