Incidentaloma en evaluación pretrasplante de donante vivo

objective: the adrenal carcinoma accounts for 0.02.% of cancers. in adrenal incidentalomas, the figures range around 2 % - 13 %. it affects both sexes, with a slight female preponderance, especially towards to the end of the third and the fourth decades. the etiology of incidentalomas includes the benign and the malignant tumors of all parts of the cortex and medulla, the adrenal metastasis, and the infiltrative diseases. method: describe a female patient, 47 years old, asymptomatic, with no known pathological conditions in preoperative evaluation for living-related donor kidney transplantation, evidenced angio tomography left adrenal gland tumor. pre transplant evaluation is concluded with no contraindication for which it was decided to perform laparoscopic adrenelectomy, extemporaneous biopsy and then laparoscopic nephrectomy for livingrelated donor renal transplantation. the left adrenal gland is removed from 4 cm x 3 cm x 2 cm firm consistence, the court observed hemorrhagic areas and necrosis. in view of the report not be conclusive of extemporaneous biopsy is deferred nephrectomy. the final results of the biopsy reported pheochromocytoma. discusion: the 5 % of the incidentalomas are pheochromocytomas and in 25 % of pheochromocytomas are findings of a study. the clinic can be varied, and bear no clear relation to the size, location or histology of the tumor. the most common symptoms are: headache, diaphoresis and palpitations. they may also have little clinical expression or be asymptomatic, a circumstance that occurs in 20 % of all cases.