Laparoscopic excision of a large extra-adrenal perirenal myelolipoma

Beiko, Darren; Roldán, Héctor; Sengupta, Sandip; George, Ralph

doi:10.5489/cuaj.824

Cited by 10 publications

(13 citation statements)

References 8 publications

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“…In the literature, only two cases of laparoscopic excision of an extra-adrenal myelolipoma are described [ 4 , 5 ], one in the presacral region [ 4 ]. The presacral myelolipoma was laparoscopically managed during a sigmoid resection for diverticular disease.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma

Rizzo

Coramusi

Pietricola

et al. 2018

Journal of Surgical Case Reports

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Myelolipomas are rare benign tumors that are commonly found in the adrenal glands. Extra-adrenal locations are rare, and presacral myelolipomas represent the most common extra-adrenal location. The differential diagnosis of malignant presacral neoplasms is very challenging. We present a case of a presacral neoplasm that was completely removed with a laparoscopic approach and diagnosed as a myelolipoma only after pathological examination.

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Section: Discussionmentioning

confidence: 99%

“…Surgical resection is only indicated when the nature of the tumor is in question or when tumor-related complications occur [ 4 ]. In the literature, only two cases of laparoscopic excision of an extra-adrenal myelolipoma are described, one in the presacral area [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma

Rizzo

Coramusi

Pietricola

et al. 2018

Journal of Surgical Case Reports

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“…This type of tumor is most commonly localized to the adrenal gland; however, there are rare but well-documented cases of extra-adrenal involvement [1] . To our knowledge, less than 60 cases of extra-adrenal myelolipomas have been reported [2, [8][9][10] , most of them involving the pre-sacral space. Tumors involving the mediastinum, lung, spleen, mandible, and nasal cavity have also been described [2][3][4][5][6][7] .…”

Section: Discussionmentioning

confidence: 99%

“…Daneshmand et al [21] suggest that small asymptomatic tumors (< 4 cm) should be monitored with routine cross-sectional surveillance imaging, while large symptomatic tumors (> 7 cm) should be surgically removed. Extra-adrenal myelolipomas have been removed using a thoracoabdominal incision, but recently a laparoscopic approach has proven to be just as effective [10] . Early detection and proper management of myelolipomas is important due to the potential for tumor growth and hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

“…This intriguing tumor most commonly occurs within the adrenal gland; however, it has been occasionally found within the pelvis, thorax, retroperitoneal space, and various other sites throughout the body [1][2][3][4][5][6][7] . There have been less than 60 reported cases of extra-adrenal myelolipomas to this date, with the majority of the literature describing neoplasms found within the pre-sacral space [2,[8][9][10] . Perirenal extra-adrenal myelolipomas are especially rare, with only 9 cases previously reported [11] .…”

Section: Introductionmentioning

confidence: 99%

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Perirenal extra-adrenal myelolipoma

Hajiran

Morley

Jansen

et al. 2014

WJC

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Myelolipomas are rare tumors consisting of both adipose and hematopoietic tissue and are typically found within the adrenal gland. Extra-adrenal involvement is rare, especially those tumors involving the perirenal space and collecting system. We report a case of a patient with an incidentally discovered perirenal mass that was initially concerning for a retroperitoneal liposarcoma. Following surgical resection and pathological analysis, the lesion was found to be an extra-adrenal myelolipoma. This case report and review of the literature demonstrates the importance of the proper work-up and management of perirenal lipoma variants while addressing the issues of tissue biopsy, surgical intervention, and pre- and post-operative surveillance.

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Bronchoscopic management of solitary bronchial myelolipoma: a case report

et al. 2019

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Background Myelolipoma is a rare benign tumor composed of mature adipose and hematopoietic tissues. Most myelolipomas are found in the adrenal glands, whereas intrathoracic myelolipoma is extremely rare. In particular, bronchial myelolipoma without the involvement of lung parenchyma has never been reported. Case presentation A previously healthy 38-year-old male developed dyspnea and a productive cough. Computed tomography revealed an endobronchial mass at the right bronchus intermedius and subsequent atelectasis of the right middle and lower lobes. Flexible bronchoscopy found a total obstruction of the right bronchus intermedius due to an endobronchial tumor. Using a rigid bronchoscope, the endobronchial tumor was resected and the base of the tumor was additionally ablated with a diode laser to prevent recurrence. The removed endobronchial tumor was a 13 mm × 20 mm-sized oval-shaped mass and was pathologically diagnosed as bronchial myelolipoma. Chest radiographs, obtained on the day following the procedure, showed an improvement of atelectasis, and accompanying symptoms were immediately improved. Follow-up bronchoscopy performed after 12 months evidenced no recurrence of the bronchial myelolipoma. Conclusions We used bronchoscopic intervention in patients with solitary bronchial myelolipoma and there was no evidence of recurrence.

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Laparoscopic excision of a large extra-adrenal perirenal myelolipoma

Abstract: Extra-adrenal myelolipoma is a very rare type of tumour. Laparoscopic removal of extra-adrenal myelolipoma has not been previously reported. We report the first case of laparoscopic excision of a large extra-adrenal perirenal myelolipoma.Can Urol Assoc J 2010;4(2):E39-E41

Cited by 10 publications

References 8 publications

Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma

Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma

Perirenal extra-adrenal myelolipoma

Bronchoscopic management of solitary bronchial myelolipoma: a case report

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