Anis-Ul-Islam Muhammad, Qureshi Abdul Hafeez, Zaidi Syed Zafar
Department of Urology, the Indus Hospital, Karachi.
J Pak Med Assoc. 2016 Mar;66(3):342-4.
Adrenal myelolipomas are rare non functional benign tumours which are incidentally diagnosed in asymptomatic patients. Despite the fact that several theories have been discussed, the origin of myelolipoma remains unclear. Our patient, 19 years old male presented with history of abdominal pain for past 7 years. Computed tomography scan of abdomen with oral and intravenous contrast revealed well defined round heterogenous enhancing mass seen in right supra renal area involving the adrenal gland. Patient underwent surgery by open access through thoracoabdominal approach. Histopathology of resected mass showed myelolipoma along with trilineage haematopoesis with mature adipose tissues.
肾上腺髓脂肪瘤是罕见的无功能良性肿瘤，常在无症状患者中偶然被诊断出来。尽管已经讨论了几种理论，但髓脂肪瘤的起源仍不清楚。我们的患者是一名19岁男性，有过去7年的腹痛病史。口服和静脉注射造影剂的腹部计算机断层扫描显示，右肾上腺区域有一个边界清晰的圆形不均匀强化肿块，累及肾上腺。患者通过胸腹联合切口开放手术。切除肿块的组织病理学显示为髓脂肪瘤以及伴有成熟脂肪组织的三系造血。
