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[Adrenal myelolipoma:clinical diagnosis and management of 26 cases]
Ying-long Sa1, Yue-min Xu, Yong Qiao
1Department of Urology, Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
Objective:
To evaluate the diagnosis and management of adrenal myelolipoma.
Methods:
The clinical data of 26 cases were analyzed retrospectively and the selected articles were reviewed. There were no specific clinical symptom and endocrine abnormality, except increasing catecholamine in 2 cases. All cases but two were diagnosed by B-model ultrasound scanning (B-US), CT or magnetic resonance imaging (MRI).
Results:
Twenty-six cases were surgically treated, the diameter of the tumor was 5 - 10 cm, simple tumor resection was performed in 16 cases, and complete adrenal resection was performed in 10 cases. All the operated cases were proved by pathologists. The duration of follow-up was from 6 - 28 months after surgery. No recurrence was observed.
Conclusions:
The diagnosis of adrenal myelolipoma could be established based on B-US, CT or MRI. The tumors whose diameter is larger than 5 cm in size should be removed.