Chakrabarti Indranil, Ghosh Nilanjana, Das Vaswati
Department of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India.
J Midlife Health. 2012 Jan;3(1):42-4. doi: 10.4103/0976-7800.98818.
Adrenal myelolipomas are functionally inactive, rare adrenal tumors which are usually small in size and are discovered incidentally. Giant symptomatic myelolipomas have rarely been reported in medical literature. Here, we describe the case of a 40-year-old female patient who presented to the surgical outpatient department with left flank pain. An ultrasonogram of the abdomen suggested a large retroperitoneal tumor which was then surgically resected. Histopathological examination of the resected specimen revealed a giant adrenal myelolipoma with intratumoral hemorrhage. The patient was relieved of symptoms and was free of any complaints in follow-up.
肾上腺髓质脂肪瘤是功能无活性的罕见肾上腺肿瘤，通常体积较小，多为偶然发现。巨大的有症状的肾上腺髓质脂肪瘤在医学文献中鲜有报道。在此，我们描述一例40岁女性患者，她因左侧胁腹疼痛就诊于外科门诊。腹部超声检查提示一个巨大的腹膜后肿瘤，随后进行了手术切除。对切除标本的组织病理学检查显示为一个伴有瘤内出血的巨大肾上腺髓质脂肪瘤。患者症状缓解，随访期间无任何不适主诉。
