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Year : 1997  |  Volume : 13  |  Issue : 2  |  Page : 100-103

Myelolipoma of adrenal gland : report of two cases


Department of Urology and Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh

Correspondence Address:
U K Mete
Department of Urology and Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh

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Source of Support: None, Conflict of Interest: None


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Adrenal myelolipomas are benign tumours composed of mature lipomatous tissue with a variable proportion of haematopoietic elements that resemble bone marrow. We herein report two such cases. One presented with abdominal lump and hypertension, whilethe other presented with acute renal failure. Ultrasonogram revealed hyperechoic adrenal mass and CT scan of abdomen showed mixed density adrenal mass with predominant fat density. None of them were hormonally active. The diagnosis of adrenal myelolipomawas a histological surprise. With characteristic findings on ultrasonography and CT scan a preoperative diagnosis is often possible. In fact by frequent use of these modern imaging techniques these lesions are being diagnosed with increased frequency. Treatment of these lesions need individualised approach. Small asymptomatic masses can be observed; on the other hand, large symptomatic masses should be excised.


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