Myelolipoma of the Adrenal Gland and Kidney Adenocarcinoma: Clinical Case

Engelking, R; Esparza, Xavier Ibarra; Velasco, David Jiménez; Maldonado, E.

doi:10.1016/s0022-5347(17)62902-1

Cited by 17 publications

(3 citation statements)

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“…In our three cases, a smooth surface with apparent encapsulation of the adrenal mass raised a section of the resected mass was performed to help de- No. 5 cide whether to proceed surgically. When each frozen section was interpreted as benign, it was felt that excision of the adrenal gland constituted adequate surgery, and no attempt was made to perform concomitant nephrectomy or regional lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Myelolipoma: An unusual surgical lesion of the adrenal gland

Noble

Montague

Levin

1982

Cancer

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The clinical and pathologic features of three cases of surgically removed myelolipoma of the adrenal gland are presented. As with 18 previously reported cases, the lesions were found in obese, middle-aged persons; two of three had chronic, systemic disease (vasculitis and lymphoma, sustained hypertension). The only symptom possibly attributable to the neoplasm was nonspecific abdominal pain, and each lesion was identified by inferior renal displacement on intravenous urography. As computed tomography becomes widely available, the authors expect more myelolipomas to be detected that require surgical exploration, since there are no satisfactory, specific radiographic criteria to differentiate adrenal myelolipoma from adrenocortical carcinoma.

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Section: Discussionmentioning

confidence: 99%

Myelolipoma: An unusual surgical lesion of the adrenal gland

Noble

Montague

Levin

1982

Cancer

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“…Various cases of endocrine dysfunction have been also described, e.g. Cushing's syndrome, 17‐ and 21‐hydroxylase deficiency, Conn's syndrome and adrenocortical insufficiency 20,21 . It is still unclear, however, how these medical conditions affect the aetiology and pathogenesis of adrenal myelolipoma, or whether they are simply coexisting diseases 17,22 …”

Section: Discussionmentioning

confidence: 99%

Giant Myelolipoma of the Right Adrenal Gland

Zografos¹,

Korkolis²,

Georgoutsos³

et al. 2002

Int J Clinical Practice

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SUMMARYAdrenal myelolipoma is an unusual, benign and hormonally inactive tumour composed of mature adipose and haematopoietic tissue. In the past, these tumours were accidentally discovered at autopsy. Today, they are found much more frequently and incidentally, mainly because of the widespread use of ultrasonography, computed tomography and magnetic reasonance imaging. Adrenal myelolipoma is usually unilateral and asymptomatic. The case of a 52‐year‐old female patient, surgically treated for a symptomatic giant myelolipoma of the right adrenal gland, is reported, together with a review of the literature.

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“…2 of them had calculous disease [4,26]. In 1 case a renal cell carcinoma of the ipsilateral kidney was responsible [14], and in 2 patients no cause of hematuria could be found [6,27], X-ray examination usually revealed renal displacement because of the su prarenal radiolucent mass indicating the presence of fat. Calcifications within the mass and even in the contralat eral adrenal area were reported [6,22,24,25,27], On sonography the tumors appeared to be solid, and the high echodensity is characteristic and suggestive for lipomatous tissue [6,17], Sometimes it seemed to be difficult to differentiate the mass from adjacent retroperitoneal fat because of its acoustic similarity, or the mass could not be localized definitely as intrarenal or extrarenal [6].…”

Section: Discussionmentioning

confidence: 99%