Incidentally detected Ganglioneuroma of adrenal gland

A 44-year-old female presented with abdominal discomfort of two months duration. She had no other complaints. On clinical examination she was found to have fibroid uterus. Hysterectomy was planned. Pre-operative imaging studies incidentally picked up a large mass in the left adrenal. Areas of calcification were also noted in the adrenal mass. Excision of adrenal mass was done along with hysterectomy for fibroid. Histopathological examination of the adrenal mass revealed clusters of ganglion cells in a dominant schwannian stroma with areas of calcification. A diagnosis of ganglioneuroma of the adrenal was made. Specimen submitted as hilar lymph node also showed ganglioneuroma. Ganglioneuromas are benign tumors of the sympathetic nervous system that rarely arise in the adrenal gland.