Abstract
Adrenal myelolipoma is a rare benign neoplasm composed of mature adipose and hematopoietic tissue. Most lesions are small, unilateral and asymptomatic, discovered incidentally at autopsy or on imaging studies performed for other reasons. We would like to present a case report of this rare tumour. Cross-sectional imaging is helpful in making a pre-operative diagnosis. The size of the lesion should be a criterion for surgical intervention.
Highlights
Case presentation A 72-year-old Caucasian lady presented to her general practitioner with a two-week history of dysuria
Adrenal myelolipoma is a rare benign neoplasm composed of mature adipose and hematopoietic tissue
On very rare occasions adrenal myelolipomas are functional- till 2004 there were only 25 cases of endocrine dysfunction associated with myelolipoma reported in the English and Japanese literature [1]
Summary
Case presentation A 72-year-old Caucasian lady presented to her general practitioner with a two-week history of dysuria. The urine culture grew Escheria Coli, and the patient was given appropriate antibiotics In the past, she had had a moderately dysplastic tubullovillous adenoma of the colon, which completely resected. The MRI scan showed the mass to be an adrenal myelolipoma, which measured 11.0 cm in diameter. There were no focal areas of enhancement within the mass following administration of contrast (Figure 3) On both CT and MRI, there were no liver lesions. A repeat MRI scan showed that the mass had increased in size to 12.0 × 10.9 cm, and had become more heterogeneous. Her case was discussed in our endocrine (page number not for citation purposes).
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