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Updated: Aug 24, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Combined adrenal myelolipoma and medullary hyperplasia
Avraham Ishay1, Muralee Dharan, Rafael Luboshitzky
1Institute of Endocrinology, Haemek Medical Center, Afula, Israel. ishay_av@clalit.org.il
Objective:
A patient is reported with hypertension due to combined medullary adrenal hyperplasia and myelolipoma.
Methods:
A 52-year-old woman with long-standing hypertension was evaluated for an incidentally discovered large tumor of the left adrenal. Left adrenalectomy was performed for a presumptive clinical diagnosis of pheochromocytoma.
Results:
Histopathologic examination revealed a mixed tumor consisting of a large myelolipoma with infiltrating foci of adrenal medulla.
Conclusions:
A patient is described with hypertension, myelolipoma and adrenal medullary hyperplasia; following adrenalectomy, however, blood pressure and biochemical abnormalities normalized.
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