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Giant adrenal myelolipoma
Gwendolyn C Fernandes1, Rajib K Gupta, Bhuvaneshwari M Kandalkar
1Department of Pathology, Seth G. S. Medical College and KEM Hospital, India.
Indian Journal of Pathology & Microbiology
|June 17, 2010
Summary
Giant adrenal myelolipoma, a rare benign tumor, can mimic malignancy. This case highlights a 2200 gm adrenal myelolipoma with bony spicules, misdiagnosed as liposarcoma, emphasizing the need for careful radiological assessment.
Area of Science:
- Endocrinology
- Oncology
- Pathology
Background:
- Adrenal myelolipomas are rare, benign tumors originating from the adrenal gland.
- Typically, these tumors are small and discovered incidentally during imaging for other conditions.
Observation:
- A rare case of a giant adrenal myelolipoma weighing 2200 gms is presented.
- The tumor exhibited unusual features, including significant size and the presence of bony spicules.
Findings:
- Radiological diagnosis initially suggested liposarcoma due to the tumor's large size and atypical features.
- Histopathological examination confirmed the diagnosis of adrenal myelolipoma.
Implications:
- This case underscores the importance of considering adrenal myelolipoma in the differential diagnosis of large adrenal masses, even with atypical features.
- Accurate diagnosis is crucial to avoid unnecessary aggressive treatment for benign conditions.
- The rarity of giant adrenal myelolipomas (fewer than 10 reported) highlights the need for awareness among clinicians and radiologists.
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