Myelolipoma: a rare incidentally detected adrenal lesion

Authors

  • Ashumi Gupta CK Birla Hospital, Jaipur. India
  • Mahendra Singh Punia CK Birla Hospital, Jaipur. India
  • Devendra Sharma CK Birla Hospital, Jaipur. India
  • Udai Beniwal CK Birla Hospital, Jaipur. India

Keywords:

Adrenal myelolipomas, lipomatous tumours, benign, rare

Abstract

Adrenal myelolipomas are benign, uncommon neoplams that are being increasingly detected due to frequent use of imaging studies. They are lipomatous tumours They are usually asymptomatic and sometimes associated with endocrinological dysfunction.We report a case of middle aged gentleman, with accidentally detected adrenal mass and no hormonal disturbances. The patient was evaluated initially for fever. Laboratory investigations revealed evidence of urinary tract infection. Ultrasound abdomen showed a hyperechoeic mass in suprarenal region with a hypoechoeic component. The patient was managed conservatively and discharged after a few days. On further work up, MRI showed a well defined suprarenal mass with hyperintensity, possibly adrenal myelolipoma. The tumour was removed laparoscopically and histopathology revealed features of myelolipoma. The patient was discahrged after an uneventful postoperative period.

Adrenal myelolipomas are rare, benign tumours of adrenal gland diagnosed incidentally. Careful evaluation is important including imaging studies and endocrinological testing. Larger or symptomatic tumours can be excised surgically. Laparoscopic resection is a safe procedure in tumours considered for surgery, with favourable patient outcome.

DOI:10.21276/APALM.1447

Author Biography

Ashumi Gupta, CK Birla Hospital, Jaipur. India

Consultant Pathology, Department of Lab Medicine, CK Birla Hospital, Jaipur.

References

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Published

27-10-2017

How to Cite

1.
Gupta A, Punia MS, Sharma D, Beniwal U. Myelolipoma: a rare incidentally detected adrenal lesion. Ann of Pathol and Lab Med [Internet]. 2017 Oct. 27 [cited 2024 Nov. 19];4(5):C156-159. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/apalm1447

Issue

Vol. 4 No. 5 (2017)

Section

Case Report

License

Copyright (c) 2017 Ashumi Gupta, Mahendra Singh Punia, Devendra Sharma, Udai Beniwal

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