Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature

We herein present a surgically treated case of huge adrenal myelolipoma. A 62-year-old woman presented to our surgical outpatient clinic with a retroperitoneal tumor. A clinical examination revealed an elastic soft, smooth-surfaced, painless, child-head-sized tumor with poor mobility, which was loca...

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Main Authors: Yoshifumi Nakayama, Nobutaka Matayoshi, Masaki Akiyama, Yusuke Sawatsubashi, Jun Nagata, Masanori Hisaoka, Keiji Hirata
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/4854368
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author Yoshifumi Nakayama
Nobutaka Matayoshi
Masaki Akiyama
Yusuke Sawatsubashi
Jun Nagata
Masanori Hisaoka
Keiji Hirata
author_facet Yoshifumi Nakayama
Nobutaka Matayoshi
Masaki Akiyama
Yusuke Sawatsubashi
Jun Nagata
Masanori Hisaoka
Keiji Hirata
author_sort Yoshifumi Nakayama
collection DOAJ
description We herein present a surgically treated case of huge adrenal myelolipoma. A 62-year-old woman presented to our surgical outpatient clinic with a retroperitoneal tumor. A clinical examination revealed an elastic soft, smooth-surfaced, painless, child-head-sized tumor with poor mobility, which was located in the left upper abdomen. Computed tomography (CT) and magnetic resonance imaging (MRI) of the abdomen revealed an uneven tumor surrounding the stomach, spleen, pancreas, and left kidney, which was 20 × 18 × 10 cm in size. The retroperitoneal tumor was resected. The tumor was attached to the surrounding organs, including the pancreas, spleen, and left kidney, but had not directly invaded these organs. The tumor was yellow and elastic soft and covered with a thin film. The origin of the tumor was suggested to be the left adrenal gland. The weight of the excised tumor was 1500 g. The histopathological diagnosis was adrenal myelolipoma. The patient had an uneventful recovery and was discharged from the hospital on the thirteenth day after the operation. She has been followed up in our outpatient clinic.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-3a971cd4dbfe4efd9a7f5d579bbe3b742025-02-03T06:42:22ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/48543684854368Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the LiteratureYoshifumi Nakayama0Nobutaka Matayoshi1Masaki Akiyama2Yusuke Sawatsubashi3Jun Nagata4Masanori Hisaoka5Keiji Hirata6Department of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Pathology and Oncology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanWe herein present a surgically treated case of huge adrenal myelolipoma. A 62-year-old woman presented to our surgical outpatient clinic with a retroperitoneal tumor. A clinical examination revealed an elastic soft, smooth-surfaced, painless, child-head-sized tumor with poor mobility, which was located in the left upper abdomen. Computed tomography (CT) and magnetic resonance imaging (MRI) of the abdomen revealed an uneven tumor surrounding the stomach, spleen, pancreas, and left kidney, which was 20 × 18 × 10 cm in size. The retroperitoneal tumor was resected. The tumor was attached to the surrounding organs, including the pancreas, spleen, and left kidney, but had not directly invaded these organs. The tumor was yellow and elastic soft and covered with a thin film. The origin of the tumor was suggested to be the left adrenal gland. The weight of the excised tumor was 1500 g. The histopathological diagnosis was adrenal myelolipoma. The patient had an uneventful recovery and was discharged from the hospital on the thirteenth day after the operation. She has been followed up in our outpatient clinic.http://dx.doi.org/10.1155/2018/4854368
spellingShingle Yoshifumi Nakayama
Nobutaka Matayoshi
Masaki Akiyama
Yusuke Sawatsubashi
Jun Nagata
Masanori Hisaoka
Keiji Hirata
Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
Case Reports in Surgery
title Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
title_full Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
title_fullStr Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
title_full_unstemmed Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
title_short Giant Adrenal Myelolipoma in a Patient without Endocrine Disorder: A Case Report and a Review of the Literature
title_sort giant adrenal myelolipoma in a patient without endocrine disorder a case report and a review of the literature
url http://dx.doi.org/10.1155/2018/4854368
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