Kim C J, Okada Y, Ishida A, Arai Y, Tomoyoshi T, Shiraishi T
Department of Urology, Obama General Hospital.
Hinyokika Kiyo. 1991 Feb;37(2):151-5.
We report a case of adrenal myelolipoma with multiple calcification and hypertension. A 69-year-old woman visited our hospital with a complaint of right flank pain. Computed tomography demonstrated a right adrenal tumor which was a spherical mass with fat density and multiple calcification. Adrenal scintigraphy of I-131 adosterol demonstrated predominant accumulation of the right adrenal gland. Selective venous sampling disclosed a high aldosterone level (303.7 ng/dl) from the affected side. Right adrenalectomy was performed. Pathological diagnosis revealed adrenal myelolipoma with calcification. After the operation the patient became normotensive. The characteristics of the 12 cases of myelolipoma with calcification we found in the Japanese literature are also briefly reviewed.
我们报告一例伴有多处钙化及高血压的肾上腺髓样脂肪瘤。一名69岁女性因右侧胁腹疼痛前来我院就诊。计算机断层扫描显示右侧肾上腺有一肿瘤，为具有脂肪密度及多处钙化的球形肿块。I - 131醛固酮肾上腺闪烁显像显示右侧肾上腺有主要积聚。选择性静脉采血显示患侧醛固酮水平较高（303.7 ng/dl）。遂行右侧肾上腺切除术。病理诊断为伴有钙化的肾上腺髓样脂肪瘤。术后患者血压恢复正常。我们还简要回顾了日本文献中发现的12例伴有钙化的髓样脂肪瘤的特征。
