scholarly journals Adrenal Myelolipoma Diagnosed in a 72-Year-Old Patient with Abdominal Pain

10.3823/2506 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Tiago Galan de Franca ◽  
Gabriela Ferreira Rocha ◽  
Sheyla Cristina De Souza Calixto
Keyword(s):  
Abdominal Pain ◽  
Private Hospital ◽  
Benign Tumor ◽  
Adrenal Tumor ◽  
Initial Symptom ◽  
Hematopoietic Tissue ◽  
Adrenal Myelolipoma ◽  
Diffuse Abdominal Pain ◽  
Difficult Diagnosis ◽  
Rare Benign Tumor

BACKGROUND: Adrenal myelolipoma is a rare benign tumor formed by hematopoietic tissue and mature adipose tissue. Usually is insidious and found occasionally on image exams, therefore is also called incidentaloma. Image studies and anatomopathological exam are important to define the diagnosis of adrenal myelolipoma. This study’s objective was to report the case of this rare adrenal tumor and its main diagnostic means. CASE: It was report case about a 72-year-old patient, whose initial symptom was diffuse abdominal pain, nausea and vomiting, diagnosed with adrenal myelolipoma after image studies even in the absence of laboratory abnormalities, and submitted at a private hospital at Belém-PA. CONCLUSIONS: The adrenal myelolipoma, due its usual asymptomatic characteristics or its no-specifics symptoms, requires a meticulous analysis concerning both diagnosis and treatment. Thus, our case report corroborates the importance of the image studies in front of an obscure and difficult diagnosis, especially the computed tomography, and anatomopathological evaluation, since they are essential to the best decision making and consequently a better prognosis of the patient.  

scholarly journals Adrenal myelolipoma: a case report

2021 ◽  
Vol 11 (3) ◽  
pp. 231-234
Author(s):  
Mohammad Sowkat Hossain ◽  
SM Mahbubul Alam ◽  
Sk Md Jaynul Islam ◽  
Shamoli Yasmin
Keyword(s):  
Benign Tumor ◽  
Adrenal Tumor ◽  
Clinical Presentation ◽  
Hormone Secretion ◽  
Final Diagnosis ◽  
Fatty Tissue ◽  
Adrenal Myelolipoma ◽  
Abdominal Symptoms ◽  
Adrenocortical Adenomas ◽  
Rare Benign Tumor

Myelolipoma is a relatively rare benign tumor of adrenal gland. Most cases are non-functioning and asymptomatic and usually discovered during various diagnostic-imaging procedures performed for other diseases of abdomen. Cases associated with excessive hormone secretion have been reported which may constitute adrenocortical adenomas with associated myelolipomatous components. Histopathological findings are very interesting and the tumor is composed of bone marrow elements with various amounts of fatty tissue. The fat component in myelolipoma can facilitate the diagnosis by radiological examination. Here, we report a case of adrenal myelolipoma and its clinical presentation and evaluation. In this case, initially the patient presented with nonspecific abdominal symptoms. Her adrenal tumor was found incidentally and the final diagnosis was proved by histopathology. BIRDEM Med J 2021; 11(3): 231-234

scholarly journals Adrenal Incidentaloma: Challenges in Diagnosing Adrenal Myelolipoma

2019 ◽  
Vol 7 ◽  
pp. 232470961987031 ◽  
Author(s):  
Sreedhar Adapa ◽  
Srikanth Naramala ◽  
Vijay Gayam ◽  
Frank Gavini ◽  
Hemant Dhingra ◽  
...  
Keyword(s):  
Adrenal Tumor ◽  
Fluid Overload ◽  
Elevated Serum ◽  
Adrenal Incidentaloma ◽  
Uncontrolled Hypertension ◽  
Adrenal Tumors ◽  
Functional Aspect ◽  
Hematopoietic Tissue ◽  
Norepinephrine Level ◽  
Adrenal Myelolipoma

Adrenal myelolipomas (AMLs) are rare benign adrenal tumors, containing adipose and hematopoietic tissue, a result of reticuloendothelial cell metaplasia. Incidence on autopsy has been reported from 0.08% to 0.4%. AMLs are generally considered nonsecretory. The functional aspect of adrenal incidentaloma should be evaluated. In this article, we report a case of a 40-year-old male, who presented with uncontrolled hypertension and renal failure, with imaging revealing an adrenal incidentaloma. He was started on dialysis for acute fluid overload, and workup for pheochromocytoma revealed an elevated serum norepinephrine level of 1181 pg/mL. Free metanephrine and normetanephrine levels were low when checked pre- and post-dialysis. Complete resection of the encapsulated right adrenal mass was performed. Pathology of the adrenal tumor demonstrates an 11.5 × 9.5 × 7.5 cm well-circumscribed, partially encapsulated proliferation of mature adipose tissue with admixed hemopoietic elements consistent with myelolipoma weighing 29.3 g. This case highlights the inclusion of a full metabolic workup for all adrenal incidentalomas, including AML.

Adrenal Myelolipoma: Report of a Case and Review of the Literature

2006 ◽  
Vol 72 (7) ◽  
pp. 649-654 ◽  
Author(s):  
Vijaykumar G. Patel ◽  
Olufemi A. Babalola ◽  
James K. Fortson ◽  
William L. Weaver
Keyword(s):  
Computed Tomography ◽  
Benign Tumor ◽  
Incidental Finding ◽  
Symptomatic Relief ◽  
Retroperitoneal Hemorrhage ◽  
Adrenal Myelolipoma ◽  
Rare Benign Tumor ◽  
Hemopoietic Tissue ◽  
General Surgeons ◽  
Tomography Scan

Adrenal myelolipoma is a rare benign tumor composed of mature lipomatous and hemopoietic tissue. Although it is often discovered as an incidental finding on imaging of the abdomen for some other reason or at autopsy, adrenal myelolipoma has been reported to present with symptoms such as flank pain resulting from tumor bulk, necrosis, or spontaneous retroperitoneal hemorrhage. Myelolipomas are hormonally inactive but have also been reported to coexist with other hormonally active tumors of the adrenal gland. They are usually unilateral but may be bilateral and may also develop in extraadrenal sites like the retroperitoneum, thorax, and pelvis. We report a patient with symptomatic adrenal myelolipoma diagnosed on computed tomography scan and confirmed on computed tomography-guided biopsy. The patient underwent surgical resection for symptomatic relief. We also review the literature to evaluate the presentation and optimal management of this rare adrenal tumor that is not encountered by most general surgeons and therefore not well known to most surgeons.

scholarly journals Experience of a Tertiary-Level Urology Center in Clinical Urological Events of Rare and Very Rare Incidence. V. Urological Tumors: 1. Adrenal Myelolipoma

2020 ◽  
Vol 14 (2) ◽  
pp. 85-91
Author(s):  
Rabea A. Gadelkareem ◽  
Ahmed M. Moeen ◽  
Mahmoud Khalil ◽  
Ahmed Reda ◽  
Mahmoud Farouk ◽  
...  
Keyword(s):  
Benign Tumor ◽  
Adrenal Tumor ◽  
Pathological Examination ◽  
Adrenal Tumors ◽  
Adrenal Myelolipoma ◽  
Promising Alternative ◽  
Alternative Approach ◽  
Laparoscopic Excision ◽  
Hospital Stay Duration ◽  
Characteristic Picture

Objectives: To present our center's experience in the management of adrenal myelolipoma in the context of shifting from the open to the laparoscopic adrenalectomy approach. Materials and Methods: A retrospective search of our center's records was done for reported cases of adrenal myelolipoma during the period July 2001-June 2016. All the cases with histopathologically-documented adrenal myelolipoma diagnosis were included. Relevant demographic and clinical variables were studied with a comparison between the open and laparoscopic approaches. Results: Of more than 82,000 urological surgeries, 238 adrenalectomies were done with only 22 cases of myelolipoma that had a mean age and body mass index of 52.4 ± 10.3 years and 30.23 kg/m2, respectively. The main clinical presentation was accidental discovery. The largest dimension of tumors varied from 6 to 16 cm. Computed tomography described a characteristic picture of hypodense heterogeneous adrenal tumors in all cases, while magnetic resonance imaging was indicated for malignancy suspicion in only 5 cases. Adrenal tumor markers were normal in all cases. Open and transperitoneal laparoscopic adrenalectomies were used in 14 and 8 cases, respectively. The latter approach was insignificantly advantageous in the need for blood transfusion, postoperative pain degree, need for analgesia, and hospital stay duration (p = 0.22). Histo-pathological examination revealed benign adipose tissue and myeloid cells and confirmed the diagnosis of adrenal myelolipoma in all cases. Conclusions: Adrenal myelolipoma is a rare non-functioning benign tumor. Laparoscopic excision seems to be a promising alternative approach to the traditional open adrenalectomy, even in the context of large tumors and obesity.

scholarly journals ADRENAL MYELOLIPOMA

2014 ◽  
Vol 6 (4) ◽  
pp. 79-85
Author(s):  
E A Fedorov ◽  
I V Sablin
Keyword(s):  
Adrenal Glands ◽  
Benign Tumor ◽  
Malignant Tumors ◽  
Correct Diagnosis ◽  
Careful Examination ◽  
Optimal Management ◽  
Adrenal Myelolipoma ◽  
Surgical Interventions ◽  
Rare Benign Tumor

Myelolipoma is a rare benign tumor that is usually asymptomatic, one-sided as a rule and hormonally inactive. It consists of mature adipose tissue with inclusion of hematopoietic cells. Most often it occurs in the adrenal gland. Patients with incidentally identified myelolipoma require careful examination in order to plan optimal management tactics. Using highly informative methods of radiodiagnostics (ultrasound, CT, MRI) allows to establish the correct diagnosis in most cases. Currently, the choice of the optimal survey algorithm, which allows not only to diagnose myelolipoma, but also to differentiate it from malignant tumors of adrenal glands, has not lost its relevance. The issues of follow-up of these patients, indications for surgery and methods of surgical interventions are also relevant.

scholarly journals Adrenal myelolipoma: An incidental and rare benign tumor in children

2014 ◽  
Vol 19 (4) ◽  
pp. 236 ◽  
Author(s):  
KartikChandra Mandal ◽  
Madhumita Mukhopadhyay ◽  
Shibsankar Barman
Keyword(s):  
Benign Tumor ◽  
Adrenal Myelolipoma ◽  
Rare Benign Tumor

Giant Multilocular Prostatic Cystadenoma in a 14-Year-Old Male: A Case Report of a Pediatric Pelvic Mass

2022 ◽  
pp. 109352662110732
Author(s):  
Mark Quiring ◽  
Stacey Berry ◽  
John Uffman ◽  
Kirk Pinto ◽  
Jonathan Kaye
Keyword(s):  
Abdominal Pain ◽  
Benign Tumor ◽  
Standard Treatment ◽  
Pelvic Mass ◽  
Prostatic Tissue ◽  
Surrounding Tissue ◽  
Surgical Removal ◽  
Patient Reported ◽  
Rare Benign Tumor ◽  
Size And Morphology

Giant multilocular prostatic cystadenoma (GMC) is an extremely rare, benign tumor seen in both adult and pediatric males. The neoplasm originates from prostatic tissue and is typically found within the rectovesical pouch, varying in both size and morphology. Microscopically, GMC contains both glandular and cystic prostatic tissue lined by cuboidal and columnar epithelium. Symptoms often arise once the pelvic mass begins to obstruct the surrounding structures and organs, although invasion into surrounding tissue is unlikely. Common symptoms include abdominal pain, urinary retention, and dysuria. The standard treatment for GMC is surgical removal of the mass with good outcomes and only 1 known case of recurrence. Here we present the case of a 14-year-old male with GMC—the youngest patient reported to date—who presented with abdominal pain, difficulty voiding, and hydroureteronephrosis.

An Invasive Hemolymphangioma of the Pancreas in a Young Woman

2019 ◽  
Vol 21 (10) ◽  
pp. 798-800 ◽  
Author(s):  
Zhijun Zhang ◽  
Qinghong Ke ◽  
Weiliang Xia ◽  
Xiuming Zhang ◽  
Yan Shen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Young Woman ◽  
Benign Tumor ◽  
Abdominal Distension ◽  
Accurate Diagnosis ◽  
Cystic Tumor ◽  
Rare Benign Tumor ◽  
Radical Surgical Resection

Background: Hemolymphangioma is a rare benign tumor. To the best of our knowledge, there were only 10 reports of this tumor of the pancreas until March 2018. Case Report: Here, we reported a large invasive hemolymphangioma of the pancreas in a young woman with a complaint of abdominal distension and an epigastric mass about 3 weeks. She was found to have a huge multilocular cystic tumor at the neck and body of pancreas on computed tomography. She was eventually diagnosed with hemolymphangioma of the pancreas after operation. After 2 years of follow-up, there was no signs of recurrence. Conclusion: From our case and literature, we can conclude that hemolymphangioma of the pancreas is uncommon benign tumor, and it is hard to make an accurate diagnosis preoperatively. Radical surgical resection should be performed whenever possible. The prognosis of this disease seems good.

Testicular fibroma: A case report

2013 ◽  
Vol 21 (3-4) ◽  
pp. 139-140
Author(s):  
Sunita Shere ◽  
Anjali Kulkarni ◽  
Shubhjyoti Pore ◽  
Rajan Bindu
Keyword(s):  
Case Report ◽  
Benign Tumor ◽  
Histopathological Diagnosis ◽  
Testicular Mass ◽  
Rare Benign Tumor ◽  
Testicular Malignancy ◽  
Slow Growing

Testicular fibroma of gonadal stromal origin is a rare benign tumor of testis, which usually presents as a slow growing testicular mass. Intratesticular fibroma of gonadal stromal origin, with or without minor sex cord elements, must be considered, analogous to similar tumors in ovary, as a benign tumor. Until now, only 25 cases of testicular fibroma have been reported in the literature. We reported a case of testicular fibroma in a 20 years male who presented with painless right testicular enlargement since two years. Ultrasonography (USG) showed heterogeneous mass in right scrotum suggestive of testicular malignancy. Right orchidectomy was done. Histopathological diagnosis was testicular fibroma, which was confirmed by immunohistochemistry.

scholarly journals Management of Basal Cell Adenoma of Accessory Parotid Gland Through Transoral Approach: Report of a Rare Case With Review

2021 ◽  
Vol 6 ◽  
pp. 247275122110308
Author(s):  
Charudatta Naik ◽  
Sanjay Joshi ◽  
Bhupendra Mhatre ◽  
Sneha Punamiya
Keyword(s):  
Parotid Gland ◽  
Basal Cell ◽  
Benign Tumor ◽  
Transoral Approach ◽  
Surgical Approaches ◽  
Basal Cell Adenoma ◽  
Diagnostic Dilemma ◽  
Cell Adenoma ◽  
Rare Benign Tumor ◽  
Accessory Parotid Gland

Diagnosis of mid-cheek mass has always been a diagnostic dilemma for clinicians. The incidence of the accessory parotid gland (APG) has been well documented in the literature. However, a diverse spectrum of pathologies can arise from this accessory parotid tissue. Basal cell adenoma is a rare benign tumor that predominantly affects the parotid gland. Its occurrence in the accessory parotid gland has been documented in 9 cases till date. Surgical approaches for the management of such APG lesions have been in debate. This report documents a case of Basal Cell Adenoma arising in accessory parotid tissue in a 55-year-old woman who was treated by transoral excision. This paper also reviews previously documented cases of all APG lesions and attempts to elucidate the rationale for selecting an appropriate surgical approach.

Sign in / Sign up

Export Citation Format

Share Document