A 46-year-old man developed suspected adrenal metastases white on cypr
oterone and goserelin therapy for prostatic carcinoma. He underwent la
paroscopic adrenalectomy for, what proved histologically, to be a beni
gn haematogenous cyst. Clinicians should be aware that adrenal imaging
abnormalities in patients on cyproterone acetate could be related to
benign, possibly drug-related changes rather than metastatic disease.
If excision biopsy is required, laparoscopic adrenalectomy should be c
onsidered.