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Giant adrenal myelolipoma
D L Répássy1, S Csata, G Sterlik
1Saint Stephen Hospital, Department of Urology, Budapest, Nagyvárad tér 1., H-1096, Hungary.
A giant adrenal myelolipoma, a rare adrenal tumor, caused significant pain but was hormonally inactive. Surgical removal of the large mass preserved the patient's kidney.
Area of Science:
- Endocrinology
- Surgical Oncology
- Abdominal Imaging
Background:
- Adrenal myelolipomas are rare, benign tumors composed of mature adipose tissue and hematopoietic elements.
- Giant adrenal myelolipomas are exceptionally rare and can present with mass effect symptoms.
Observation:
- A case of a hormonally inactive, giant adrenal myelolipoma measuring 20x18x10 cm is presented.
- The patient experienced significant abdominal and flank pain attributed to the tumor's mass effect.
Findings:
- Surgical excision was the chosen treatment modality for the symptomatic giant adrenal myelolipoma.
- The surgical procedure successfully removed the large adrenal tumor while preserving the ipsilateral kidney.
Implications:
- This case highlights the importance of considering giant adrenal myelolipomas in the differential diagnosis of abdominal masses causing pain.
- Successful surgical management of large adrenal myelolipomas can lead to complete symptom resolution and preserve adjacent organ function.
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