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[Bilateral adrenal myelolipoma: a case report]
M Tsujihata1, S Shin, O Miyake
1Department of Urology, Sumitomo Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|August 1, 1994
Summary
This case report details a rare instance of bilateral adrenal myelolipoma in a 40-year-old man. Surgical removal confirmed the diagnosis of these benign adrenal tumors.
Area of Science:
- Endocrinology
- Oncology
- Surgical Pathology
Background:
- Adrenal myelolipomas are rare, benign tumors composed of mature adipose tissue and hematopoietic elements.
- Bilateral adrenal involvement is exceptionally uncommon, with few cases documented globally.
Observation:
- A 40-year-old male presented with incidentally discovered bilateral adrenal masses via ultrasonography.
- Imaging revealed large heterogeneous masses: 14.0 cm on the right and 5.0 cm on the left.
- Adrenal function tests were within normal limits.
Findings:
- Surgical intervention included right adrenalectomy and left adrenal tumor enucleation.
- Pathological examination confirmed adrenal myelolipoma, characterized by adipose and bone marrow-like tissue.
- This represents the sixth reported case of bilateral adrenal myelolipoma in Japanese literature.
Implications:
- Highlights the importance of imaging in diagnosing rare adrenal pathologies.
- Underscores the need for surgical consideration in managing large or symptomatic adrenal myelolipomas.
- Contributes to the limited case series on bilateral adrenal myelolipoma, aiding future clinical understanding.