Giant adrenal myelolipoma

Discussion:
  • location and attenuation of the mass on CT are compatible wtih right adrenal myelolipoma
  • adrenal myelolipomas are rare benign tumors of the adrenal gland with varying proportions of hematopoietic and adipose tissue.These lesions rarely measure more than five cm in diameter, although giant tumors have been occasionally reported.
  • giant adrenal myelolipomas may be asymptomatic, or because of their large size may lead to dragging abdominal pain, an abdominal mass, compression of neighboring organs and even acute intratumoral or retroperitoneal hemorrhage
  • the main differential diagnosis will be liposarcoma based on the large size of the tumor and presence of adipose components.
  • giant adrenal myelolipomas are usually treated by simple adrenalectomy and completely curable. Hence an awareness of this rare adrenal entity and its correct diagnosis is important.
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