Ten specimens of adrenal cyst resected during the period 1984-1999 were re-
examined. Thorough examination of multiple sections and the use of immunohi
stochemistry allowed to change the recorded diagnosis in 8 cases: three epi
thelial cysts and five pseudocysts were redefined as endothelial cysts. All
10 cysts were of the endothelial type. A synthetic review of the current k
nowledge about the pathogenesis, the classification and the clinical aspect
s of this rare disease is presented.