scholarly journals Giant adrenal myelolipoma: A case report

2014 ◽  
Vol 2 (1) ◽  
pp. 33-35
Author(s):  
P Gurung ◽  
MR Joshi ◽  
S Hirachand ◽  
M Lakhey

Adrenal myelolipomas are rare benign tumors. Most are detected incidentally on imaging for non adrenal relatedsymptoms. We report a case of a 78 year old female who presented with non- specifi c complaint of itching all over the bodyand a palpable abdominal mass. CT scan abdomen revealed a large right-sided retroperitoneal mass with thin capsulemeasuring 20.8x15.4x12.7cm. Differential diagnoses considered were retroperitoneal liposarcoma, retroperitonealteratoma and retroperitoneal myelolipoma. The tumor was resected and sent for histopathological examination.Microscopic examination revealed mature adipocytes, islands of hematopoietic tissue and compressed adrenal tissue atthe periphery clinching a diagnosis of adrenal myelolipoma.DOI: http://dx.doi.org/10.3126/jkmc.v2i1.10554Journal of Kathmandu Medical College, Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013, Page: 33-35

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Ravi Maharaj ◽  
Sangeeta Parbhu ◽  
Wesley Ramcharan ◽  
Shanta Baijoo ◽  
Wesley Greaves ◽  
...  

Giant pheochromocytomas are rare silent entities that do not present with the classical symptoms commonly seen in catecholamine-secreting tumors. In many cases they are accidentally discovered. The algorithm to diagnose a pheochromocytoma consists of biochemical evaluation and imaging of a retroperitoneal mass. The female patient in this case report presented with a palpable abdominal mass and was cured with surgical resection. She suffered no recurrence or complications on follow-up. The left retroperitoneal mass measured 27 × 18 × 12 cm and weighed 3,315 grams. Biochemical, radiological, and pathological examinations confirmed the diagnosis of a pheochromocytoma. In this paper, we report on our experience treating this patient and provide a summary of all giant pheochromocytomas greater than 10 cm reported to date in English language medical journals. Our patient’s giant cystic pheochromocytoma was the fourth heaviest and fifth largest maximal diameter identified using our literature search criteria. Additionally, this tumor had the largest maximal diameter of all histologically confirmed benign/low metastatic risk pheochromocytomas. Giant cystic pheochromocytomas are rare entities requiring clinical suspicion coupled with strategic diagnostic evaluation to confirm the diagnosis.


1998 ◽  
Vol 84 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Armando Rossi ◽  
Roberto Incensati

This paper describes a case of adrenal myelolipoma with an unusual characteristic: the presence of bone spicules. The lesion was associated with an accessory adrenal gland containing foci of myeloadiposis. The authors believe that myelolipoma and myeloadiposis are closely associated and are in fact the expression of a single process that is both focal (myeloadiposis) and diffuse (myelolipoma). The process consists of the differentiation of choristomatous primitive mesenchymal cells into hematopoietic tissue, adipose tissue and, in rare cases, bone tissue.


2012 ◽  
Vol 1 (1) ◽  
pp. 33-36
Author(s):  
R Thapa ◽  
M Lakhey ◽  
U Shrestha

Sclerosing haemangioma is a rare neoplasm of the lung which behaves in a clinically benign fashion. Herein, a case of sclerosing haemangioma of the lung in a 52 years old woman is reported. She presented with symptoms of cough and chest pain. Chest X-ray and CT scan showed a well-defined lesion in lower lobe of left lung. Bronchoscopic biopsy findings were suggestive of a carcinoid tumor. Later the tumor was removed by lobectomy. The distinctive constellation of histologic findings revealed it to be a sclerosing haemangioma. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7254 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.33-36


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Mana Moghadamfalahi ◽  
Daniel S. Metzinger

Adenomyomas are benign tumors composed of smooth muscle and endometrial tissue. These tumors usually arise from the myometrium. Extrauterine adenomyomas are rare with only a few case reports available in the literature. Here, we report an unusual case of multiple adenomyomas in a 39-year-old woman six years after hysterectomy for multiple leiomyomata. To the best of our knowledge, this is the first case of extrauterine adenomyoma presenting as an upper abdominal mass.


Author(s):  
Carine EL-HAJJ ◽  
Clemence MATTA ◽  
Bachir ELIAS

Introduction: Specific management schemes of the exceedingly rare primitive mesenchymal leiomyosarcomas do not exist. Reporting their behavior and management is necessary to be able to construct evidence-based directives. Case Report: We report a case of a 42-year-old Caucasian woman that presented with a large indolent abdominal mass evolving over 3 months. Two differential diagnosis were looked upon, either GIST or leiomyosarcoma. The abdomino-pelvic ct-scan proved that this tumor could be completely resected, so the patient was successfully operated within 2 weeks of the preliminary diagnosis. A monobloc negative margin resection was performed and the patient recovered on the surgical floor. The anatomopathological studies and immunohistochemistry tests confirmed the presence of a primitive mesenchymal leiomyosarcoma. The patient was recommended a follow up every 4 months with a thoraco-abdomino-pelvic ct-scan due to her economic status. Conclusion: The management of rare tumors is always challenging due to the lack of knowledge concerning its behavior and response to the various treatment modalities. Reporting this rare case of mesenchymal leiomyosarcoma and similar cases will enable a better understanding of this disease and its treatment.


2014 ◽  
Vol 8 (5-6) ◽  
pp. 374 ◽  
Author(s):  
Druvtej Ambati ◽  
Kunal Jana ◽  
Trustin Domes

Most giant pheochromocytomas do not present with classic symptoms, as documented by published case reports. Given this, clinicians have to consider a wide differential diagnosis for any retroperitoneal mass and perform screening tests to rule out a pheochromocytoma. We describe the largest pheochromocytoma reported in Canada, where the patient presented with a palpable abdominal mass and dyspnea. The 19 × 18 × 12-cm right retroperitoneal mass was biochemically active and was radiologically and pathologically consistent with a giant pheochromocytoma. We present this case and review the relevant current literature.


2021 ◽  
Vol 1 (3) ◽  
pp. 6-11
Author(s):  
Tiago Magalhães Cardoso ◽  
Érica Paulinne Pereira Brandão ◽  
Fernando Fernandes Rodrigues ◽  
Luíz Felipe Lima Ceccato

Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into  jaundice. When seeking medical care, a large liver cyst and cholelithiasis. Imaging exams revealed liver cyst in segments IV-B,V and VI, lithiasis and biliary polyp.


2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Paraskevi Vlachou ◽  
Dimitris Fagkrezos ◽  
Anastasia Tzivelopoulou ◽  
Georgia Kyriakopoulou ◽  
Petros Maniatis ◽  
...  

1992 ◽  
Vol 304 (5) ◽  
pp. 303-305 ◽  
Author(s):  
Eleanor E. Harris ◽  
Matthew Sweat ◽  
Ward A. Katsanis ◽  
George R. Aronoff

2012 ◽  
Vol 2 (2) ◽  
pp. 121-123
Author(s):  
P Mashud ◽  
MT Rahman ◽  
AS Mohiuddin ◽  
N Afroze ◽  
T Monowar

Gastric teratomas are extremely rare tumors. A six year old boy presented with abdominal mass. Ultrasound of abdomen showed mixed echogenic lesion. CT scan showed a mass with solid and cystic components and internal calcifications. At operation a tumor arising from the posterior wall of the stomach was found. It was exogastric as well as endogastric in location. Histopathological examination revealed a mature teratoma.DOI: http://dx.doi.org/10.3329/birdem.v2i2.12329(Birdem Med J 2012; 2(2): 121-123)


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