El Mejjad Amine, Fekak Hamid, Dakir Mohamed, Sarf Ismail, Manni Ahmed, Meziane Fethi
Service d'Urologie "B", CHU Ibn Rochd, Casablanca, Maroc.
Prog Urol. 2004 Feb;14(1):81-4.
Adrenal myelolipoma is a rare, benign, non-secreting tumour composed of adipose and haematopoietic tissue. The authors report a rare case of giant adrenal myelolipoma in a 53-year-old patient presenting with low back pain and a palpable flank mass on examination. CT scan suggested the diagnosis and surgical resection was indicated in view of the size and symptomatic nature of this mass. Histological examination confirmed the diagnosis. The outcome was favourable without recurrence after a follow-up of one year. The diagnosis of adrenal myelolipoma is based on radiology. Conservative management is generally sufficient for small asymptomatic tumours, but resection is required for large (> 5 cm) and/or symptomatic tumours.
