Akamatsu Hiroki, Koseki Masato, Nakaba Hiroyuki, Sunada Shoji, Ito Akira, Teramoto Seiichi, Miyata Masahiko
Department of Surgery, Kure National Hospital, Kure, Japan.
Surg Today. 2004;34(3):283-5. doi: 10.1007/s00595-003-2682-4.
Adrenal myelolipomas are rare benign tumors composed of mature adipose tissue and hematopoietic elements that resemble bone marrow. They are usually asymptomatic, and most cases are incidentally found at radiological examination or autopsy. Symptoms such as abdominal pain and increasing girth occur only when the tumor grows large. We report the case of a giant adrenal myelolipoma in a 51-year old man who presented with a huge abdominal mass and abdominal pain. The resected tumor weighed 6,000 g and could represent the largest such tumor ever documented in the literature. We discuss the diagnosis and treatment of this unusual tumor.
肾上腺髓质脂肪瘤是一种罕见的良性肿瘤，由成熟脂肪组织和类似骨髓的造血成分组成。它们通常无症状，大多数病例是在影像学检查或尸检时偶然发现的。只有当肿瘤长大后才会出现腹痛和腰围增加等症状。我们报告了一例51岁男性的巨大肾上腺髓质脂肪瘤病例，该患者表现为巨大腹部肿块和腹痛。切除的肿瘤重达6000克，可能是文献中记载的最大的此类肿瘤。我们讨论了这种罕见肿瘤的诊断和治疗。
