Daneshmand Siamak, Quek Marcus L
Section of Urologic Oncology, Division of Urology and Renal Transplantation, Oregon Health and Science University, Portland, OR 97229, USA.
Urol J. 2006 Spring;3(2):71-4.
Adrenal myelolipomas are benign lesions that contain hematopoietic and fatty elements. They are usually hormonally inactive and asymptomatic until they reach large sizes. With the routine use of cross-sectional imaging, these lesions are now being discovered with increasing frequency.
We performed a comprehensive review of the literature using the PubMed database containing the key word adrenal myelolipoma.
We identified 492 articles written from 1956 to 2006 and reviewed 93 in detail including the authors' own experience. In this review, we highlighted the salient diagnostic features of adrenal myelolipomas and offered a guide for management of these benign lesions.
Adrenal myelolipomas may grow over time, but they can usually be followed without surgical excision. In some cases, very large myelolipomas can present with pain and can be confused with necrotic adrenal carcinomas, thus necessitating their surgical removal.
肾上腺髓质脂肪瘤是一种含有造血和脂肪成分的良性病变。它们通常无激素活性，在体积增大之前无症状。随着横断面成像技术的常规应用，这些病变现在被发现的频率越来越高。
我们使用包含关键词“肾上腺髓质脂肪瘤”的PubMed数据库对文献进行了全面回顾。
我们识别出1956年至2006年撰写的492篇文章，并详细回顾了93篇，包括作者自己的经验。在本综述中，我们强调了肾上腺髓质脂肪瘤的显著诊断特征，并为这些良性病变的管理提供了指导。
肾上腺髓质脂肪瘤可能会随时间增长，但通常可以进行观察而无需手术切除。在某些情况下，非常大的髓质脂肪瘤可能会引起疼痛，并可能与坏死性肾上腺皮质癌混淆，因此需要手术切除。
