Korean J Hepatobiliary Pancreat Surg.  2008 Dec;12(4):298-301.

A Case of an Asymptomatic Adrenal Myelolipoma

• Lee HS
• Choi SB
• Kim KS

Abstract

Adrenal myelolipoma is a rare benign, non-functioning tumor that is frequently discovered incidentally. We report here on a case of a 47-year-old woman with an incidentally found adrenal tumor. She was slightly obese and had been diagnosed with diabetes. Her blood sugar level was well-controlled with oral hypoglycemic agents. All the laboratory test results were within normal limits. The abdomen CT scan revealed a well-demarcated homogenous solid mass that was 9cm in diameter, and it consisted of fat tissues. The differential diagnosis for malignant tumors was necessary, so we performed complete surgical excision. The patient recovered well without any major complications. If the diagnosis of adrenal myelolipoma is definite, then regular follow-up of this type of patient is sufficient. However, as the differential diagnosis with malignant tumors is rather difficult and as spontaneous hemorrhage can persist in the giant myelolipomas that are greater than 10cm in diameter, performing complete surgical excision is inevitable.

Keyword

Myelolipoma; Adrenal Gland Neoplasm

MeSH Terms

Abdomen
Adrenal Gland Neoplasms
Blood Glucose
Diagnosis, Differential
Female
Follow-Up Studies
Hemorrhage
Humans
Hypoglycemic Agents
Middle Aged
Myelolipoma
Blood Glucose
Hypoglycemic Agents