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Adrenal Angiomyolipoma: A Case Report.

Mohamed Ahmed¹, Ahmed Mahmoud², Amarseen Mikael²

¹Surgery, University of California, Riverside, USA.

|March 20, 2020

Summary

A rare adrenal tumor, angiomyolipoma (AML), was surgically removed from a 68-year-old male. This case presents the largest adrenal angiomyolipoma ever reported, highlighting its potential for significant growth.

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Area of Science:

Oncology
Pathology

Background:

Angiomyolipoma (AML) is a rare mesenchymal tumor originating from perivascular epithelioid cells.
Most commonly found in the kidney, extrarenal AML, particularly adrenal AML, is exceptionally rare.
Only 16 cases of adrenal AML were documented by the World Health Organization in 2017.

Observation:

A 68-year-old male presented with severe right upper quadrant abdominal pain.
Computed tomography (CT) identified a large mass in the right adrenal gland.
Surgical removal (adrenalectomy) was performed for the adrenal mass.

Findings:

Histopathology confirmed the adrenal mass as an angiomyolipoma (AML).
The resected adrenal AML was the largest tumor of its kind ever recorded in medical literature.

Keywords:

adrenal mass angiomyolipoma

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The patient experienced an uncomplicated recovery and was discharged without adverse events.

Implications:

This case expands the understanding of adrenal angiomyolipoma (AML) size potential.
It underscores the importance of considering rare diagnoses in cases of large adrenal masses.
Highlights the successful surgical management of exceptionally large adrenal tumors.