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CASE REPORT
Adult neuroblastoma: a rare diagnosis of an adrenal mass
  1. Jason Ramsingh,
  2. Helen Casey and
  3. Carol Watson
  1. Department of General Surgery, Queen Elizabeth University Hospital Campus, Glasgow, UK
  1. Correspondence to Mr Jason Ramsingh, ramsingh.jason{at}gmail.com

Abstract

A 22-year-old woman presented to her local district hospital with left-sided abdominal pain. She denied any urinary or gastrointestinal symptoms. She had a CT scan of her abdomen which showed a probable 8×5×8 cm left-sided adrenal mass. Functional tests for hormone excess were negative. She was referred to a tertiary referral centre and given the size of the adrenal mass; she consented for laparoscopic left adrenalectomy. During the operation, the mass was grossly adherent to the celiac axis, left renal pedicle and DJ flexure. A small nodule posterior to the renal vein was also identified. The operation was completed laparoscopically and she made an uneventful recovery. The specimen was reported as a poorly differentiated neuroblastoma. She had a postoperative MIBG scan which was negative for residual or metastatic disease. She was commenced on platinum-based chemotherapy with a plan for further radiological follow-up.

  • Endocrine System
  • Adrenal Disorders
  • Surgical Oncology
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Footnotes

  • Contributors JR: was responsible for the drafting of the manuscript and research on neuroblastoma. CW: provided the literature review concerning neuroblastomas and reviewed the final manuscript. HC: involved in the literature review, drafting the manuscripts and final review of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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