Symptomatic adrenal myelolipoma. Clinicopathological analysis of 7 cases and brief review of the literature.

Abstract:

:Seven cases of adrenal myelolipoma comprising 5.8% of total adrenal tumors are described with a male-to-female ratio of 1.3:1. Five were symptomatic, of which 4 had a palpable abdominal mass, 2 cases detected incidentally were associated with carcinoma of the uterine cervix and renal cell carcinoma, respectively. The average age and duration of symptoms at presentation were 56 years (range 38-70 years) and 3.16 months (range 1-9 months). A CT scan was done in all cases, of which 5 showed a nonenhancing mass lesion with fat density diagnosed as adrenal myelolipoma. However, in 1 case radiological diagnosis of liposarcoma was maintained because of the huge size of the lesion whereas in another case the lesion was missed because of associated renal cell carcinoma. Interestingly the right adrenal was involved in all cases and the weight varied from 7 to 2,000 g. No recurrence was noted in the follow-up period (ranging from 3 months to 10 years).

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Sharma MC,Kashyap S,Sharma R,Chumber S,Sood R,Chahal R

doi

10.1159/000283044

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

119-24

issue

2

eissn

0042-1138

issn

1423-0399

journal_volume

59

pub_type

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