Ectopic ACTH and adrenal myelolipoma

We describe a case of adrenal myelolipoma that occurred in a 66-year-old male with an ACTH producing oat cell lung carcinoma. To our knowledge, this is the first case in which myelolipoma has occurred in association with ectopic ACTH-induced Cushing's syndrome. The literature is reviewed and the pathogenesis of myelolipoma is discussed.