Giant Adrenal Cyst : Epithelial Variant, A Rare Entity

Abstract

Adrenal cystic lesions are a rare entity encountered in clinical practice. They can be classified into 4 types endothelial, pseudocyst, epithelial and parasitic. It is mostly asymptomatic and non-functional. Lack of definite laboratory and radiological diagnostic criteria makes it difficult to establish their diagnosis preoperatively and excision is needed in most cases. Laparoscopic adrenalectomy is the treatment of choice although small, benign, asymptomatic, non functional lesions can be aspirated or put on surveillance. Epithelial cyst is one of the rare types of adrenal cyst comprising only 9% of all adrenal cysts with most of the benign cysts less than 7 cm. Hereby illustrating a rare case of incidentally diagnosed giant epithelial adrenal cyst, the incidence of which has been less than hundred in the literature reported so far