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Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report

INTRODUCTION: Adrenal myelolipomas are relatively rare, non-functioning benign tumours composed of mature fatty and active hematopoietic elements. They can be asymptomatic, even if their size is massive. Diagnosis is relatively simple using ultrasound, computed tomography and magnetic resonance imag...

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Autores principales: Tyritzis, Stavros I, Adamakis, Ioannis, Migdalis, Vasileios, Vlachodimitropoulos, Dimitrios, Constantinides, Constantinos A
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769476/
https://www.ncbi.nlm.nih.gov/pubmed/19918346
http://dx.doi.org/10.4076/1757-1626-2-8863
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author Tyritzis, Stavros I
Adamakis, Ioannis
Migdalis, Vasileios
Vlachodimitropoulos, Dimitrios
Constantinides, Constantinos A
author_facet Tyritzis, Stavros I
Adamakis, Ioannis
Migdalis, Vasileios
Vlachodimitropoulos, Dimitrios
Constantinides, Constantinos A
author_sort Tyritzis, Stavros I
collection PubMed
description INTRODUCTION: Adrenal myelolipomas are relatively rare, non-functioning benign tumours composed of mature fatty and active hematopoietic elements. They can be asymptomatic, even if their size is massive. Diagnosis is relatively simple using ultrasound, computed tomography and magnetic resonance imaging. Surgical resection through an extraperitoneal approach is advocated in cases of symptomatic or large myelolipomas exceeding 5-cm in diameter. Their low incidence seems to be increasing from 0.2% to 10% during the last decade. CASE PRESENTATION: We present a case of a giant adrenal myelolipoma in a 68-year-old Caucasian male, who was presented with left lumbar pain. Renal ultrasound, CT and MRI demonstrated a well demarcated mass, with a maximum diameter of 10-cm. The differential diagnosis comprised the adrenal myelolipoma, the retroperitoneal liposarcoma and the renal angiomyolipoma. Thus, the patient was subjected to a left adrenalectomy. CONCLUSION: Multiple theories have been proposed for the increasing frequency and natural course of the adrenal myelolipoma, with chronic adrenal stimulation and the contemporary stressful lifestyle to be the most appealing. Surgical treatment is advocated through an extraperitoneal approach because of the quicker recovery of the patient and the smaller postoperative complication rate.
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spelling pubmed-27694762009-11-16 Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report Tyritzis, Stavros I Adamakis, Ioannis Migdalis, Vasileios Vlachodimitropoulos, Dimitrios Constantinides, Constantinos A Cases J Case report INTRODUCTION: Adrenal myelolipomas are relatively rare, non-functioning benign tumours composed of mature fatty and active hematopoietic elements. They can be asymptomatic, even if their size is massive. Diagnosis is relatively simple using ultrasound, computed tomography and magnetic resonance imaging. Surgical resection through an extraperitoneal approach is advocated in cases of symptomatic or large myelolipomas exceeding 5-cm in diameter. Their low incidence seems to be increasing from 0.2% to 10% during the last decade. CASE PRESENTATION: We present a case of a giant adrenal myelolipoma in a 68-year-old Caucasian male, who was presented with left lumbar pain. Renal ultrasound, CT and MRI demonstrated a well demarcated mass, with a maximum diameter of 10-cm. The differential diagnosis comprised the adrenal myelolipoma, the retroperitoneal liposarcoma and the renal angiomyolipoma. Thus, the patient was subjected to a left adrenalectomy. CONCLUSION: Multiple theories have been proposed for the increasing frequency and natural course of the adrenal myelolipoma, with chronic adrenal stimulation and the contemporary stressful lifestyle to be the most appealing. Surgical treatment is advocated through an extraperitoneal approach because of the quicker recovery of the patient and the smaller postoperative complication rate. Cases Network Ltd 2009-09-01 /pmc/articles/PMC2769476/ /pubmed/19918346 http://dx.doi.org/10.4076/1757-1626-2-8863 Text en © 2009 Tyritzis et al.; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Tyritzis, Stavros I
Adamakis, Ioannis
Migdalis, Vasileios
Vlachodimitropoulos, Dimitrios
Constantinides, Constantinos A
Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title_full Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title_fullStr Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title_full_unstemmed Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title_short Giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
title_sort giant adrenal myelolipoma, a rare urological issue with increasing incidence: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769476/
https://www.ncbi.nlm.nih.gov/pubmed/19918346
http://dx.doi.org/10.4076/1757-1626-2-8863
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