Case Report: An incidentaloma that catches your eye - adrenal myelolipoma [version 1; referees: awaiting peer review (original) (raw)
Related papers
Adrenal incidentaloma refers to the incidental finding of a tumor Background in the adrenal gland, where nonfunctional forms are the most common variant. Myelolipoma is a rare (0.08-0.4%) occurrence characterized by adipose and hematopoietic tissue. The aim of this case report is to describe the diagnosis and appropriate management of a myelolipoma in an asymptomatic patient, which was originally considered an incidental hepatic hemangioma prior to being identified as a giant adrenal adenoma. The patient was a 54 year old obese female with a recent Case description: diagnosis of diabetes type II and dyslipidemia with recent ultrasound imaging suggestive of a hepatic hemangioma. An MRI was performed revealing a 7x6cm lesion in the right adrenal area indicating a giant adrenal adenoma. An adrenalectomy was performed without complications. The pathology report identified a myelolipoma.
Case Report: An incidentaloma that catches your eye - adrenal myelolipoma
F1000Research, 2017
Background: Adrenal incidentaloma refers to the incidental finding of a tumor in the adrenal gland, where nonfunctional forms are the most common variant. Myelolipoma is a rare (0.08-0.4%) occurrence characterized by adipose and hematopoietic tissue. The aim of this case report is to describe the diagnosis and appropriate management of a myelolipoma in an asymptomatic patient, which was originally considered an incidental hepatic hemangioma prior to being identified as a giant adrenal adenoma. Case description: The patient was a 54 year old obese female with a recent diagnosis of diabetes type II and dyslipidemia with recent ultrasound imaging suggestive of a hepatic hemangioma. An MRI was performed revealing a 7x6cm lesion in the right adrenal area indicating a giant adrenal adenoma. An adrenalectomy was performed without complications. The pathology report identified a myelolipoma. Discussion: The incidence of myelolipoma has recently increased due to advances in radiological tech...
Giant adrenal incidentaloma – myelolipoma
World journal of clinical surgery, 2022
Adrenal myelolipomas (AMLs) are unusual non-functioning benign tumours composed of adipose and hematopoietic tissues. It is usually diagnosed accidentally and nowadays much more frequently because of widespread use of ultrasonography, computed tomography (CT) and magnetic resonance imaging. Adrenal myelolipoma is usually unilateral and asymptomatic, though known to be associated with obesity, hypertension, endocrinological disorders and some malignancies. We present a 48 years-old female patient, obese with no medical history and a painless right-sided mass. CT scan suggested the diagnosis of giant adrenal myelolipoma. The complete preoperative laboratory exams showed a non-functioning tumour. The patient underwent open right adrenalectomy and the pathological study confirmed the diagnosis of adrenal myelolipoma. AMLs discovered incidentally and CT scan remains the gold standard of diagnosis. The open surgery approach is the suggested treatment for giant AMLs (>10cm) while the laparoscopic and robotic surgery has been used in only a few cases.
International Journal of Endocrinology and Metabolic Disorders, 2019
Adrenal myelolipoma is a rare benign neoplasm composed of mature adipose and hematopoietic tissue. Most lesions are small, unilateral and asymptomatic, discovered incidentally at autopsy or imaging studies performed for other reasons [1]. The incidence of Adrenal incidentalomas is at least 2% in the general population [2]. The prevalence of finding an adrenal myelolipoma from an incidentaloma is very small. In autopsy studies, the incidence of adrenal myelolipoma is reported as being 0.08 to 0.4% 1 with a male-to-female ratio of 1:1. No other documented case of Adrenal Myelolipoma was ever reported in our institution and only 1 published case of Adrenal Myelolipoma locally [3]. The present case is a 78-year old Filipino man who on executive checkup had an incidental finding of adrenal mass. Biochemical evaluation revealed that this was a non-functioning adrenal mass. Further evaluation including MRI of the adrenal gland showed a right suprarenal mass lesion with enhancing solid and fat components consistent with Myelolipoma. Since population based studies have limited data regarding the epidemiology of Adrenal myelolipoma, we are reporting this case to help future research studies. Due to the large size of the tumor and the risk of retroperitoneal bleeding, the patient agreed to an Elective Laparoscopic Adrenalectomy
Adrenal myelolipoma :Incidentally discovered mass
International Journal of Surgery and Medicine, 2017
Introduction: Myelolipoma is a rare benign tumour of the adrenal gland, usually asymptomatic, unilateral and nonfunctioning. It is composed of a variable mixture of mature adipose tissue and hematopoietic elements. Widespread use of imaging modalities has increased the frequency of detection. Case presentation: We report a case of adrenal myelolipoma in a 55-years-old male of Indian origin, who presented with pain in the right flank. Physical examination revealed an intra-abdominal mass. Contrast-enhanced computed tomography (CECT) scan of the abdomen showed a well-defined, round lesion in right suprarenal region with heterogeneous attenuation. The patient was subjected to right adrenalectomy, and postoperative course was uneventful. The histopathological examination of the mass confirmed this as adrenal myelolipoma. Conclusion: Mostly adrenal lipoma is discovered as "incidentaloma" but warrants thorough diagnostic study. Imaging and biochemical assay are useful for planning best treatment modality in a particular case to minimise postoperative complications and assuring fast recovery.
Management of an incidentally found large adrenal myelolipoma: a case report
Cases Journal, 2009
Adrenal myelolipoma is a rare benign neoplasm composed of mature adipose and hematopoietic tissue. Most lesions are small, unilateral and asymptomatic, discovered incidentally at autopsy or on imaging studies performed for other reasons. We would like to present a case report of this rare tumour. Cross-sectional imaging is helpful in making a pre-operative diagnosis. The size of the lesion should be a criterion for surgical intervention.
Case report of a 60-year-old male with giant adrenal myelolipoma
International Surgery Journal
Adrenal myelolipoma is a benign neoplasm of the adrenal gland that is the second most common primary adrenal incidentaloma, following adrenocortical adenomas. It is composed of elements of adipose tissue and with varying amounts of hematopoietic components. In the past, these tumors were discovered at autopsy, with an incidence ranging from 0.08% to 0.4%. Today, with the widespread use of radiological studies such as ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI), the incidental detection of myelolipoma has become more common, constituting up to 10-15% of incidental adrenal masses. The patient was hospitalized for a 3-month history of discomfort in the right flank, swelling over the right hypochondriac area, constipation, retrosternal burning sensation, and early satiety. His vitals were stable but per abdominal examination revealed a mass in the right hypochondrium. B-mode ultrasound screening revealed an adrenal tumor. A hematological examination r...
Adrenal myelolipoma: Case report with a review of the literature
Australasian Radiology, 1996
A 40 year old woman who was pre-operatively diagnosed as possibly having adrenal myelolipoma is reported. Adrenal myelolipomas are rare, non-functional benign tumours comprising varying amounts of fat and haematopoietic elements. Albeit possibly coincidental, there is a frequent association with obesity, hypertension, and/or diabetes mellitus. A growing number of patients are being diagnosed during ultrasonographic or computerized tomographic scanning for unrelated problems.
Incidental Detection of Adrenal Myelolipoma: A Case Report and Review of Literature
Case Reports in Urology, 2013
Introduction. Adrenal myelolipoma is a rare tumor that is benign in nature, usually asymptomatic, unilateral, and nonsecreting. It is composed of variable mixture of mature adipose tissue and hematopoietic elements and develops within the adrenal gland. With the widespread use of cross-sectional imaging modalities such as ultrasonography and computed tomography, the incidental detection of these tumors is increasing in frequency.Case Presentation. We report a case of adrenal myelolipoma in a 63-year-old Kashmiri male, who presented with pain in the right upper abdomen. Physical examination was unremarkable. Ultrasound abdomen showed the presence of a hyperechoic mass in the right suprarenal region with undefined margins. Contrast-enhanced computed tomography (CECT) scan of abdomen revealed a well-defined, round lesion in the right suprarenal region with heterogeneous attenuation suggesting the possibility of myelolipoma. The patient was subjected to right adrenalectomy and his posto...