뇌하수체 우연종을 동반한 부신 우연종

저자 등은 인후통증을 주소로 내원하여 뇌자기공명영상촬영을 시행, 뇌하수체 거대선종을 우연히 발견하였으며 직장암 과거력이 있어 복부 컴퓨터단층촬영을 시행 후 부신 우연종이 발견되어 두 가지 우연종이 동시에 발견된 증례를 경험하였기에 보고하는 바이다. 뇌하수체 우연종은 추적관찰 중이며, 부신 우연종은 전이병변을 배제할 수 없어 수술적 제거를 시행한 상태로 두 가지 우연종이 서로 명확한 상관관계를 보이고 있지 않아 치료방침은 각각의 우연종의 경우와 크게 다르지 않을 것이라 생각된다. Incidentaloma is defined as an asymptomatic mass lesion that shows no associated hormonal hyper- or hyposecretion. Adrenal incidentaloma is also a typical mass detection of which is known to have increased with improved imaging techniques such as CT or MRI. We report a case in which a pituitary incidentaloma is accompanied by an adrenal incidentaloma. The 65-year-old patient was admitted due to oropharyngeal pain, and had a medical history that included an operation for rectal cancer. The adrenal tumor had no function, but left adrenalectomy was performed for the evaluation of rectal cancer recurrence, which was diagnosed pathologically as a benign adrenocortical nodule. In our experience we have found that, in the case of multiple incidentalomas, it is important to evaluate the function or malignancy status of each. (J Kor Endocrinol Soc 21:577~582, 2006)