肾上腺髓质脂肪瘤的临床无症状肿瘤：一例报告。
A clinically silent tumour of adrenal myelolipoma: A case report.
作者信息
Azizan Nornazirah, Myint Ohnmar, Wynn Aye Aye, Thein Tin Tin, Hayati Firdaus, Nik Lah Nik Amin Sahid
机构信息
Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
出版信息
Int J Surg Case Rep. 2020;72:63-65. doi: 10.1016/j.ijscr.2020.05.056. Epub 2020 Jun 1.
INTRODUCTION
Adrenal myelolipoma is a rare, non-functional, benign neoplasm which is constituted of mature haematopoietic elements and adipose tissues in various proportions. It is diagnosed accidentally and frequently with the widespread use of imaging modalities.
PRESENTATION OF CASE
We report a 63-year-old lady with incidental findings of adrenal tumour on computed tomography (CT) scan during a routine medical check-up. She underwent tumour resection in view of a large tumour of 7 cm in size.
DISCUSSION
CT scan is sensitive to diagnose adrenal myelolipoma in view of its fat-laden property and useful to monitor the tumour progress. Even previously she opted for conservative management; the decision for surgery was made in view of enlarging tumour and risk of surrounding tissue compression.
CONCLUSION
With increased awareness, the detection rate of this tumour is improving, hence able to prevent the complications of a large tumour such as compression, bleeding and tumour necrosis.
引言
肾上腺髓质脂肪瘤是一种罕见的、无功能的良性肿瘤，由成熟的造血成分和脂肪组织按不同比例构成。随着影像学检查手段的广泛应用，它常被偶然发现。
病例介绍
我们报告一位63岁女性，在常规体检的计算机断层扫描（CT）中偶然发现肾上腺肿瘤。鉴于肿瘤大小为7厘米，她接受了肿瘤切除术。
讨论
鉴于肾上腺髓质脂肪瘤富含脂肪的特性，CT扫描对其诊断很敏感，并且有助于监测肿瘤进展。即使她之前选择保守治疗；但鉴于肿瘤增大及周围组织受压风险，还是决定进行手术。
结论
随着认识的提高，这种肿瘤的检出率正在上升，从而能够预防大肿瘤的并发症，如压迫、出血和肿瘤坏死。
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