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伪装成心力衰竭的巨大肾上腺髓质脂肪瘤。

Giant adrenal myelolipoma masquerading as heart failure.

作者信息

Joy Parijat S, Marak Creticus P, Nashed Nadia S, Guddati Achuta K

机构信息

Department of Internal Medicine, University of Iowa Hospitals and Clinics, and University of Iowa Carver College of Medicine, Iowa, Iowa., USA.

Division of Pulmonary Medicine, Department of Medicine, Tahlequah City Hospital, Tahlequah, Okla., USA.

出版信息

Case Rep Oncol. 2014 Mar 13;7(1):182-7. doi: 10.1159/000360981. eCollection 2014 Jan.

DOI:10.1159/000360981
PMID:24748868
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3985784/
Abstract

Adrenal myelolipomas are rare benign tumors of the adrenal cortex composed of adipose and hematopoietic cells. They have been postulated to arise from repeated stimulation by stress, inflammation and ACTH oversecretion. Myelolipomas are usually detected incidentally on imaging and do not require any active intervention besides regular follow-up by imaging. However, myelolipomas may insidiously grow to large sizes and cause mass effects and hemorrhage. Timely diagnosis and surgical resection are curative and lifesaving.

摘要

肾上腺髓质脂肪瘤是肾上腺皮质罕见的良性肿瘤,由脂肪细胞和造血细胞组成。据推测,它们是由压力、炎症和促肾上腺皮质激素分泌过多的反复刺激引起的。髓质脂肪瘤通常在影像学检查时偶然发现,除了定期进行影像学随访外,不需要任何积极干预。然而,髓质脂肪瘤可能会不知不觉地生长到很大尺寸,并引起占位效应和出血。及时诊断和手术切除可治愈疾病并挽救生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/6a3fe6971555/cro-0007-0182-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/2b824bb850a2/cro-0007-0182-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/72c12d8062dd/cro-0007-0182-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/6a3fe6971555/cro-0007-0182-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/2b824bb850a2/cro-0007-0182-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/72c12d8062dd/cro-0007-0182-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c8/3985784/6a3fe6971555/cro-0007-0182-g03.jpg

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引用本文的文献

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Case Report: An incidentaloma that catches your eye - adrenal myelolipoma.病例报告:一个引起你注意的偶发瘤——肾上腺髓脂肪瘤。
F1000Res. 2017 Jul 18;6:1140. doi: 10.12688/f1000research.11766.1. eCollection 2017.
2
Adrenal myelolipoma: Controversies in its management.肾上腺髓质脂肪瘤:其治疗中的争议
Indian J Urol. 2015 Apr-Jun;31(2):94-101. doi: 10.4103/0970-1591.152807.

本文引用的文献

1
Renal myelolipoma: a rare extra-adrenal tumor in a rare site: a case report and review of the literature.肾髓脂肪瘤:一种罕见部位的罕见肾上腺外肿瘤:病例报告及文献复习
J Med Case Rep. 2013 Apr 4;7:92. doi: 10.1186/1752-1947-7-92.
2
Primary myelolipoma of the lung: a case of report and review of literature.原发性肺髓脂肪瘤:一例报告并文献复习
Pol J Pathol. 2012 Nov;63(3):204-6. doi: 10.5114/pjp.2012.31507.
3
Primary myelolipoma presenting as a nasal cavity polyp: a case report and review of the literature.表现为鼻腔息肉的原发性髓脂肪瘤:一例报告并文献复习
J Med Case Rep. 2012 May 14;6:127. doi: 10.1186/1752-1947-6-127.
4
Giant secreting adrenal myelolipoma in a man: a case report.男性巨大分泌性肾上腺髓质脂肪瘤:一例报告
J Med Case Rep. 2011 Jul 9;5:298. doi: 10.1186/1752-1947-5-298.
5
Hepatic myelolipoma.肝髓脂肪瘤
J Gastrointestin Liver Dis. 2010 Mar;19(1):106-7.
6
Primary myelolipoma of the chest wall.胸壁原发性髓脂肪瘤
Ann Thorac Surg. 2009 Oct;88(4):e39-41. doi: 10.1016/j.athoracsur.2009.06.085.
7
Primary mediastinal myelolipoma.原发性纵隔髓脂肪瘤。
Ann Thorac Surg. 2008 May;85(5):1805-6. doi: 10.1016/j.athoracsur.2007.11.023.
8
[Giant and bilateral adrenal myelolipoma. Case report].[巨大双侧肾上腺髓质脂肪瘤。病例报告]
G Chir. 2008 Mar;29(3):85-8.
9
Bilateral adrenal myelolipoma associated with hyperaldosteronism: report of a case and review of the literature.双侧肾上腺髓质脂肪瘤合并醛固酮增多症:1例报告并文献复习
Urology. 2007 Dec;70(6):1223.e11-3. doi: 10.1016/j.urology.2007.09.046.
10
[Extraadrenal perirenal myelolipoma: report of a case and review of the literature].[肾上腺外肾周髓脂肪瘤:1例报告并文献复习]
Actas Urol Esp. 2007 Sep;31(8):932-4. doi: 10.1016/s0210-4806(07)73751-8.