Kraimps J L, Marechaud R, Levillain P, Lacour J F, Barbier J
Department of Surgery, Jean Bernard Hospital, Poitiers University, France.
Surgery. 1992 Jan;111(1):114-7.
Adrenal myelolipomas are rare, nonfunctioning benign tumors that consist of mature fat and bone-marrow elements. In the first half of this century, most adrenal myelolipomas were found incidentally at autopsy. These tumors are usually unilateral and asymptomatic. Today they are detected by ultrasonography, computerized tomography, or magnetic resonance imaging scan, done for other reasons. Adrenal myelolipomas can be diagnosed because of their characteristic images. Thus they are classified as "incidentalomas." We report the case of a 50-year-old man who had bilateral adrenal myelolipomas and whose right-side tumor was symptomatic. To our knowledge it is the third operated case reported in the literature. A right adrenalectomy was performed, keeping the asymptomatic left adrenal myelolipoma to preserve adrenal function.
肾上腺髓质脂肪瘤是一种罕见的、无功能的良性肿瘤，由成熟脂肪和骨髓成分组成。在本世纪上半叶，大多数肾上腺髓质脂肪瘤是在尸检时偶然发现的。这些肿瘤通常为单侧且无症状。如今，它们是在因其他原因进行超声检查、计算机断层扫描或磁共振成像扫描时被发现的。肾上腺髓质脂肪瘤因其特征性图像而得以诊断。因此，它们被归类为“偶发瘤”。我们报告一例50岁男性，患有双侧肾上腺髓质脂肪瘤，其右侧肿瘤有症状。据我们所知，这是文献报道的第三例手术病例。实施了右侧肾上腺切除术，保留无症状的左侧肾上腺髓质脂肪瘤以维持肾上腺功能。
