This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Surgery  • Surgical Interventions  • Endocrine Surgery  • Endoscopy/ Minimally Invasive Surgery  • Diagnosis  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Surg. 2009;144(3):284.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Adrenal Myelolipoma

The patient underwent a diagnostic laparoscopy that revealed a mass of 6.0 x 5.0 x 2.5 cm arising from the right adrenal gland. An uncomplicated laparoscopic right adrenalectomy was performed. Pathologic examination showed the tumor mass was composed of mature adipocytes with interspersed hematopoietic marrow containing immature myeloid and erythroid precursors, mature granulocytes, and megakaryocytes, consistent with an adrenal myelolipoma. The patient tolerated the procedure well without complications, and his abdominal pain has completely resolved.

Adrenal myelolipomas are rare, benign, nonfunctioning tumors composed of mature adipose tissue and scattered hematopoietic elements. Ultrasonography, CT, and MRI are effective in diagnosing adrenal myelolipomas in more than 90% of cases, with CT being the most sensitive diagnostic imaging modality.¹ Most are asymptomatic and identified incidentally during radiologic studies. The prevalence of an adrenal incidentaloma at autopsy is less than 1% for patients younger than 30 years, but increases to 7% in patients aged . . . [Full Text of this Article]

AUTHOR INFORMATION



CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Image of the Month—Quiz Case
Lucy Connor, Joanna Craig, Kerri E. Buch, and Celia M. Divino
Arch Surg. 2009;144(3):283.
EXTRACT | FULL TEXT