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Giant adrenal myelolipoma
S C Gautam1, H Raafat1, S Sriganesh1
1Fujairah Hospital, Fujairah, United Arab Emirates.
Qatar Medical Journal
|July 9, 2014
Summary
A large adrenal myelolipoma, a rare non-functioning adrenal mass, was surgically removed from a 52-year-old male patient. This case highlights the rarity of giant adrenal myelolipomas, defined as exceeding 3500 grams.
Area of Science:
- Endocrinology
- Surgical Oncology
- Pathology
Background:
- Adrenal myelolipomas are rare, benign tumors composed of mature adipose tissue and hematopoietic elements.
- Non-functioning adrenal masses can present asymptomatically or with nonspecific symptoms like abdominal pain.
- Giant adrenal myelolipomas (>3500 grams) are exceptionally rare, with limited documented cases.
Observation:
- A 52-year-old male presented with a six-month history of abdominal pain.
- Investigations revealed a large, non-functioning adrenal mass.
- Preoperative diagnosis of adrenal myelolipoma was made.
Findings:
- Surgical resection of the large adrenal myelolipoma was successfully performed.
- The adrenal mass weighed significantly, classifying it as a giant adrenal myelolipoma.
- Histopathological confirmation of adrenal myelolipoma post-surgery.
Implications:
- This case contributes to the limited literature on giant adrenal myelolipomas.
- Highlights the importance of considering rare diagnoses in patients with large adrenal masses.
- Surgical management is effective for symptomatic or large adrenal myelolipomas.
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