Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Ectopic Adrenal Adenoma in Renal Sinus: A Case Report

신장의 이소성 부신 선종: 증례 보고

  • John Baek (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • See Hyung Kim (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • Seung Hyun Cho (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital) ;
  • Won Hwa Kim (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital) ;
  • Hye Jung Kim (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital) ;
  • Hun Kyu Ryeom (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • Ghilsuk Yoon (Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital)
  • 백요한 (경북대학교 의과대학 경북대학교병원 영상의학과) ;
  • 김시형 (경북대학교 의과대학 경북대학교병원 영상의학과) ;
  • 조승현 (경북대학교 의과대학 칠곡경북대학교병원 영상의학과) ;
  • 김원화 (경북대학교 의과대학 칠곡경북대학교병원 영상의학과) ;
  • 김혜정 (경북대학교 의과대학 칠곡경북대학교병원 영상의학과) ;
  • 염헌규 (경북대학교 의과대학 경북대학교병원 영상의학과) ;
  • 윤길숙 (경북대학교 의과대학 칠곡경북대학교병원 영상의학과)
  • Received : 2021.12.06
  • Accepted : 2022.03.08
  • Published : 2022.09.01
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Abstract

The kidney is a rare site of ectopic adrenal adenoma. To the best of our knowledge, some cases of ectopic adrenal adenoma have been found in the kidney, but few of these cases explain the CT and MRI findings of the lesion. We reported a case of ectopic adrenal adenoma in the left renal sinus. A 47-year-old male patient underwent abdominal CT for routine health check-ups, which revealed a 1.2 cm enhancing mass in the left renal sinus. The MRI showed a signal drop of the mass in T1 weighted in- and opposed-phase, which indicates fat components. The mass was confirmed as an ectopic adrenal adenoma after surgery.

신장은 이소성 부신 선종의 드문 부위이다. 우리가 아는 한, 신장에서 발생한 이소성 부신 선종의 일부 증례가 보고되었지만, 이러한 증례들 중 병변의 컴퓨터단층촬영 및 자기공명영상소견을 설명하는 경우는 거의 없다. 47세 남자 환자가 정기 건강검진을 위해 복부 컴퓨터단층촬영을 시행한 결과 왼쪽 신장동에 1.2 cm 크기의 조영 증강이 되는 종괴가 발견되었다. 추가적으로 시행한 자기공명영상에서 지방 성분을 의미하는 신호 강하 소견을 보였다. 종괴는 수술 후 이소성 부신 선종으로 확인되었다.

Keywords

References

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