Laparoscopic surgery for adrenal myelolipoma: Report of two cases

Laparoscopic surgery for adrenal myelolipoma: Report of two cases

Adrenal myelolipoma, consisting of mature fat and hematopoietic tissue, is a rare, benign and biochemically inactive tumor. Most lesions are small and asymptomatic, discovered incidentally at autopsy or on imaging studies performed for other reasons. We report two cases of adrenal myelolipoma which were large and causing symptoms and successfully removed by laparoscopic lateral transabdominal adrenalectomy. We conclude that large and symptomatic adrenal myelolipomas can be treated with laparoscopic adrenalectomy.

___

  • Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992;1;327(14):1033.
  • Sanders R, Bissada N, Curry N, Gordon B. Clinical spectrum of adrenal myelolipoma: analysis of 8 tumors in 7 patients. J Urol. 1995;153(6):1791-3.
  • Mitual BA, Satish KT, Daniel S. Myelolipoma of the renal sinus. Arch Pathol Lab Med. 1999;123:631-4.
  • Hsu SW, Shu K, Lee WC, Cheng YT, Chiang PH. Adrenal myelolipoma: A 10-year single-center experience and literature review. Kaohsiung J Med Sci. 2012;28(7):377-82.
  • Otal P, Escourrou G, Mazerolles C, Janne d'Othee B, Mezghani S, Musso S, Colombier D, Rousseau H, Joffre F. Imaging features of uncommon adrenal masses with histopathologic correlation. RadioGraphics. 1999;19(3):569-81.
  • Hoeffel JC, Kowalski S, Nguyen Quy K, Claudon M. Case report: the spontaneous course of a giant myelolipoma. Radiologe. 2000;40(7):649-51.
  • Letizia C, Coassin S, Massa R, Caliumi C, De Toma G, Reale MG, Delfini E, D'Erasmo E. Incidentalomas of the adrenal glands. Persona, cases and review of the literature. Minerva Endocrinol. 2000;25(1):19-27.
  • Russell C, Goodacre BW, vanSonnenberg E, Orihuela E. Spontaneous rupture of adrenal myelolipoma: spiral CT appearance. Abdom Imaging. 2000;25(4):431-4.
  • Yildiz L, Akpolat I, Erzurumlu K, Aydin O, Kandemir B. Giant adrenal myelolipoma: case report and review of the literatüre. Pathol Int. 2000;50(6):502-4.
  • Öztekin Ö, Eren SC, Ölmezoglu A, Er A, Kebapçı E. Adrenal myelolipom: Olgu sunumu. Ege Tıp Der. 2001;40(3):207-9.
  • Butori N, Guy F, Collin F, Benet C, Causeret S, Isambert N. Retroperitoneal extra- adrenal myelolipoma: appearance in CT and MRI. Diagn Interv Imaging. 2012;93(3):204-7.