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김영희,홍기영,이만호,이상종,오동주,김명숙,배원길 대한내분비학회 1986 Endocrinology and metabolism Vol.1 No.1
Doran described the first adrenal cyst found by Greiseleus from Vienna in 1670. Wahl found in incidence of 0.06 percent in a series of 14,000 autopsies.Classifications proposed by Terrier and Lecene in 1906 were included as parasitic, epithelial, and pseudocysts. According to their report, pseudocyst of the adrenal gland(39%), were the most commonly recognized at exploration. Although the five cases with adrenal cysts were found to date in this country, there is lack of adrenal pseudocyst. This farmer, 61 year-old, was admitted to this hospital on March, 1985, because of upper abdominal aching pain with duration or ten years. The pain was temporarilly subsided with some oral analgesics without any laboratory and radiologic examination by the local medical doctors. Physical examination was essentially normal except adult fist sized mss with smooth surface in the upper abdomen. It was no tender and slightly movable.Routine laboratory examination including blood chemistry gave no abnormalities. The great curvature of stomach was compressed by extrinsic mass on Upper GI series. No widening of the duodnal loop was demonstrated. Gastroscopic finding disclosed a small benign ulcer on the pyloric antrum. Excretory urogram revealed lateral and downward displacement of the left kidney and sharp deviation of the left ureter toward left. The ultrasound showed a large cystic mass seen on left upper quadrant. It compress the left kidney posteriorly. And a large cystic mass of fluid density is demonstrated behind the pancreas on the abdominal CT scan. Urinary VMA and ACTH stimulation test were within normal. After the treatment of gastric ulcer was given for two weeks with much improvement. The fist sized cystic mass attched to the left adrenal gland was removed without any difficulty. The lert kidney was not distrubed. Convalescence was not eventful and had discharged two weeks after surgery. Thin walled cyst was focally trabeculated with smooth inner surface on pathological examination. The cyst was consists of fibrocollagenous and adipose tissue with focally infiltrated lymphocyte and inner surface demonstrated no linning cells.