Document Type : Case Report

Authors

1 Assistant professor of pathology, Pathology and Stem Cells Research Center & Department of Pathology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 Assistant Professor, Department of Urology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

3 Department of Pathology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Adrenal myelolipoma is a rare benign tumor that is composed of hematopoietic cells and mature fat. Mostly, these nonfunctioning tumors are distinguished incidentally during autopsy or radiologic investigations. Here, we report a case of 46-year-old man presented with nonspecific abdominal pain for one year, who had right adrenal mass with fat density detected by radiologic investigation. Histopathological assessment of right adrenalectomy specimen revealed the diagnosis of adrenal myelolipoma.

Keywords

  1. Kenney PJ, Wagner BJ, Rao P, Heffess CS. Myelolipoma: CT and pathologic features. Radiology 1998; 208(1):87-95.
  2. Wagnerová H, Lazúrová I, Bober J, Sokol L, Zachar M. Adrenal myelolipoma. 6 cases and a eview of the literature. Neoplasma 2004; 51(4):300-5.
  3. Wani NA, Kosar T, Rawa IA, Qayum A. Giant adrenal myelolipoma: incidentaloma with a rare incidental association. Urol Ann 2010; 2(3):130-3.
  4. Ramirez M, Misra S. Adrenal myelolipoma: to operate or not? A case report and review of the literature. Int J Surg Case Rep 2014; 5(8):494-6.
  5. Thompson LD. Endocrine Pathology. London: Churchill Livingstone; 2006.
  6. Daneshmand S, Quek ML. Adrenal myelolipoma: diagnosis and management. Urol J 2006; 3(2):71-4.
  7. Cheng L, MacLennan G, Bostwick D. Urologic Surgical Pathology 4th ed. US: Saunders; 2019.
  8. Sajjanar AB, Athanikar VS, Dinesh US, Nanjappa B, Patil PB. Non functional unilateral adrenal myelolipoma, a case report. J Clin Diagn Res 2015; 9(6): ED03-4.
  9. Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med 1992; 327(14):1033.