Symptomatic Adrenal Myelolipoma

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).

Giant adrenal myelolipoma

“…Our patient presented with dull, aching abdominal pain. In the literature many of these patients are male, hypertensive and newly discovered diabetics as was in our case 3,5 . Case reports indicate that some of the larger myelolipomas have been misinterpreted as retroperitoneal liposarcomas on radiological examinations 18 .…”

“…Adrenal myelolipoma comprised 5.8% of adrenal tumours with a male:female ratio of 1.3:1 3 . Autopsy studies have reported the incidence of 0.03 %–0.2 % in the general population 4 .…”

Giant Adrenal Myelolipoma: Report of a Case

“…The most common symptom is abdominal pain, probably due to hemorrhage into the tumor, tumor necrosis, or compression of the adjacent organs by the large tumor bulk. 10 Adrenal myelolipoma is nonfunctional, and there are usually no specific findings in the laboratory data. Our patient was found to have mild anemia and slight hyperbilirubinemia, probably due to recurrent hemorrhage into the huge tumor.…”

Effect of some Materials for Controlling Green Peach Aphid, Myzus persicae (Sulzer)

“…The efficiency of plant extracts as promising source of safe and cheap insecticides were studied by several authors (Feng and Isman, 1995;Berlandier, 1996;Sharma et al, 1997;Moawad et al, 1998,Gripwal, 1999and Mariy et al, 2000b).…”