{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:26:58Z","timestamp":1791588418433,"version":"4.3.4"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Ectopic adrenal tissue is a rare entity, particularly in the ovary. Its identification is important to avoid misdiagnosis with more clinically significant tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report an incidental finding of ectopic adrenal cortical tissue within the ovary of a 54-year-old postmenopausal woman undergoing hysterectomy for endometrial cancer. A golden-yellow nodule was observed in the left ovary, with histology consistent with adrenal cortical tissue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Ectopic adrenal tissue is most commonly found in pediatric male patients in the spermatic cord. Ovarian involvement is extremely rare. Histologically, it can resemble steroid cell tumors or metastatic clear cell carcinoma. Recognizing this entity avoids unnecessary diagnostic confusion or overtreatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Awareness of ectopic adrenal rests in the ovary is essential for accurate diagnosis and appropriate management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111732","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T06:51:56Z","timestamp":1753426316000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Ectopic adrenal tissue in the ovary: An incidental finding in a middle-aged woman\u2014A case report"],"prefix":"10.1097","volume":"134","author":[{"given":"Masoumeh","family":"Gharib","sequence":"first","affiliation":[{"name":"Department of Pathology, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohadeseh","family":"Karimi","sequence":"additional","affiliation":[{"name":"Department of Pathology, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sareh","family":"Kamali","sequence":"additional","affiliation":[{"name":"Department of Pathology, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Mashoufi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasam","family":"Mashoufi","sequence":"additional","affiliation":[{"name":"Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzaneh","family":"Ramezani","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"3","key":"R1-60-20260310","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/00000658-196803000-00017","article-title":"Aberrant adrenal tissue","volume":"167","author":"Schechter","year":"1968","journal-title":"Ann. Surg"},{"issue":"3","key":"R2-60-20260310","doi-asserted-by":"crossref","first-page":"258","DOI":"10.4274\/jcrpe.galenos.2021.2021.0148","article-title":"Emergence of ectopic adrenal tissues-what are the probable mechanisms?","volume":"14","author":"Tar\u00e7\u0131n","year":"2022","journal-title":"J. Clin. Res. Pediatr. Endocrinol"},{"key":"R3-60-20260310","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1590\/S1677-55382006000200013","article-title":"Ectopic adrenal tissue in the spermatic cord in pediatric patients: surgical implications","volume":"32","author":"Mendez","year":"2006","journal-title":"Int. Braz. J. Urol"},{"issue":"4","key":"R4-60-20260310","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1080\/01443615.2017.1379063","article-title":"Ectopic adrenal rest cells of the fallopian tube: a case report and review pof the literature","volume":"38","author":"Tingi","year":"2018","journal-title":"J. Obstet. Gynaecol"},{"issue":"10","key":"R5-60-20260310","article-title":"Ectopic paratubal adrenal cell rest associated with mucinous cystadenoma of ovary","volume":"9","author":"Khandakar","year":"2015","journal-title":"J. Clin. Diagn. Res"},{"key":"R6-60-20260310","article-title":"Revised surgical CAse REport (SCARE) guideline: an update for the age of artificial intelligence","volume":"10","author":"Kerwan","year":"2025","journal-title":"Premier Journal of Science"},{"issue":"1","key":"R7-60-20260310","article-title":"Ectopic adrenal gland tissue in the left ovary of an elderly woman: a case report","volume":"40","author":"Lee","year":"2021","journal-title":"Pan African Medical Journal"},{"issue":"6","key":"R8-60-20260310","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s10029-016-1535-1","article-title":"Adrenal ectopy of adult groin region: a systematic review of an unexpected anatomopathologic diagnosis","volume":"20","author":"Senescende","year":"2016","journal-title":"Hernia"},{"key":"R9-60-20260310","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.ijscr.2017.02.045","article-title":"Ovarian serous cystadenoma with ectopic adrenal tissue in a 65-year-old patient: a case report","volume":"33","author":"\u015eahin","year":"2017","journal-title":"Int. J. Surg. Case Rep"},{"key":"R10-60-20260310","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.ijscr.2020.05.047","article-title":"Ectopic adrenal gland in an adult inguinal hernial sac: a case report","volume":"72","author":"Alimoradi","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"issue":"04","key":"R12-60-20260310","first-page":"269","article-title":"Ectopic adrenocortical tissue along the spermatic cord","volume":"39","author":"Bruning","year":"1984","journal-title":"Z. Kinderchir"},{"issue":"5","key":"R14-60-20260310","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/PAS.0b013e3182152629","article-title":"Immunohistochemical distinction of primary adrenal cortical lesions from metastatic clear cell renal cell carcinoma: a study of 248 cases","volume":"35","author":"Sangoi","year":"2011","journal-title":"Am. J. Surg. Pathol"},{"issue":"3","key":"R15-60-20260310","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/PAS.0b013e3181cfb506","article-title":"A tissue microarray-based comparative analysis of novel and traditional immunohistochemical markers in the distinction between adrenal cortical lesions and pheochromocytoma","volume":"34","author":"Sangoi","year":"2010","journal-title":"Am. J. Surg. Pathol"},{"issue":"3","key":"R16-60-20260310","article-title":"Adrenal cortical rests in the fallopian tube: report of a case and review of the literature","volume":"8","author":"Tzigkalidis","year":"2021","journal-title":"Medicines (Basel)"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225009186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225009186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111732","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:04:30Z","timestamp":1773137070000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":14,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111732","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-04-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}