Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2016) 41 EP78 | DOI: 10.1530/endoabs.41.EP78

ECE2016 Eposter Presentations Adrenal cortex (to include Cushing's) (85 abstracts)

Non functional unilateral giant adrenal myelolipoma: a case report

Ferhat Gokay 1 , Yasin Simsek 1 , Tamer Ertan 2 & Ebru Akay 3


1Department of Endocrinology and Metabolism, Kayseri Training and Research Hospital, Kayseri, Turkey; 2Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey; 3Department of Pathology, Kayseri Training and Research Hospital, Kayseri, Turkey.


Introduction: Adrenal myelolipoma is a rare benign tumour composed of mature adipose tissue and hematopoietic tissue. Most lesions are small and asymptomatic, discovered incidentally during autopsy or on imaging studies performed for other reasons. Usually small and asymptomatic, but has been reported to present with symptoms such as abdominal pain resulting from tumour bulk, necrosis or spontaneous retroperitoneal haemorrhage.

Case 54-year old woman who presented with a giant abdominal mass and abdominal pain. The dimensions of the mass on MRI scan were as follows, 8.8 cm (cranio-caudal) ×5.2 cm (antero-posterior)×6.3 cm (medio-lateral). The retroperitoneal tumor was resected, and a giant adrenal myelolipoma was diagnosed by pathological examination.

Conclusion: Adrenal myelolipoma are rare non functioning benign tumors, which can be observed expectantly with surgical resection reserved for larger or symptomatic lesions to prevent the occurrence of a rupture or intratumoral haemorrhage.

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