Journal List > Korean J Urol > v.47(7) > 1069947

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Mo, Kim, Lee, Kwen, and Seo: Adrenal Myelolipoma Treated with Hand-assisted Transperitoneal Laparoscopic Adrenalectomy
Case Report
Korean Journal of Urology

Korean Journal of Urology 2006; 47(7): 791-793.

Published online: 31 July 2006

DOI: https://doi.org/10.4111/kju.2006.47.7.791

Adrenal Myelolipoma Treated with Hand-assisted Transperitoneal Laparoscopic Adrenalectomy

Kyo Ik Mo, Dae Gon Kim, Kyung Seop Lee, Soon Weon Kwen1, Young Jin Seo

Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea.

1Department of Urology, Sunlin Hospital, Handong University, Pohang, Korea.

Corresponding author (seoyjin@korea.com)

Received 14 March 2006       Accepted 10 April 2006

Copyright © 2006 The Korean Urological Association

Abstract

Adrenal myelolipoma is an uncommon, benign, hormonally non-active lesion that is composed of a mix of hemopoietic elements and mature adipose tissue. Most adrenal myelolipomas are incidentally found by ultrasonogram, computed tomography or magnetic resonance imaging. This tumor is commonly asymptomatic, although patients will occasionally present with nonspecific abdominal pain. We report here on a case of myelolipoma that was treated by Hand-assisted transperitoneal laparoscopic adrenalectomy.

Keywords: Myelolipoma, Adrenal glands, Laparoscopy

Figures and Tables

Fig. 1
Computed tomography shows a well-encapsulated left suprarenal retroperitoneal tumor with areas of fat density.
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Fig. 2
The cut surface shows predominantly fatty tissue with patches of hemorrhage and tumor necrosis.
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Fig. 3
Myelolipoma composed of adipose tissue and bone marrow elements that are partially surrounded by epithelium of adrenal cortex and a fibrous capsule (H&E, ×100).
kju-47-791-g003

References

1. Han M, Burnett AL, Fishman EK, Marshall FF. The natural history and treatment of adrenal myelolipoma. J Urol. 1997. 157:1213–1216.
2. Amano T, Takemae K, Nikura S, Kouno M, Amano M. Retroperitoneal hemorrhage due to spontaneous rupture of adrenal myelolipoma. Int J Urol. 1999. 6:585–588.
3. Meyer A, Behrend M. Presentation and therapy of myelolipoma. Int J Urol. 2005. 12:239–243.
4. Kim YI, Kim PN, Shin JH, Lee NK. A case of adrenal myelolipoma. Korean J Urol. 1993. 34:1072–1075.
5. Ha DS, Lim HM, Chang ST, Park YW, Yoo JH, Song KY. Myelolipoma which originated from adrenal gland. Korean J Surg. 1994. 46:448–454.
6. Kim HK, Lee YH, Jung KJ, Sung NK, Kim OD, Cho CH. Adrenal collision tumor consisted of adrenocortical carcinoma and myelolipoma: a case report. J Korean Radiol Soc. 2002. 47:399–401.
7. Kim TN, Lee JZ, Chung MK, Kim IJ, Kim YK, Lee W. Clinical experience of laparoscopic transperitoneal adrenalectomy. Korean J Urol. 2005. 46:931–937.
8. Dieckmann KP, Hamm B, Pickartz H, Janas D, Bauer HW. Adrenal myelolipoma: clinical, radiologic, and histologic features. Urology. 1987. 29:1–8.
9. Osborn M, Smith M, Senbanjo T, Crofton M, Robinson S, Rajan P. Adrenal myelolipoma - clinical, radiological and cytological findings: a case report. Cytopathology. 2002. 13:242–246.
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