Adrenal myelolipoma: gross pathology and histology

Case contributed by Dr Andrew Ryan

Presentation

Incidental large right adrenal mass

Patient Data

Age: 50
Gender: Female

Removed surgically

Modality: Pathology

Macro: Adrenal gland 75 x 50 x 45 mm and 90 g with thin yellow cortex and central dark red/brown to gelatinous lesion, up to 70 mm. 

Macroscopic: The findings are classical with central congested, red to brown lesion and thin residual rim of yellow adrenal cortex.

Microscopic: The histology nicely demonstrates the component tissues including:

  • lipid vaculoes (these are actually empty holes in histological sections as the lipid is 'washed out' during routine processing. 
  • haematological elements including myeloid, erythroid and megakaryocytic
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Case Information

rID: 19001
Case created: 1st Aug 2012
Last edited: 10th Sep 2016
System: Urogenital
Inclusion in quiz mode: Included

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