Murakami Y, Hotei H, Tsumura H, Kohmo N, Nakai S, Kado S, Masuda T
Department of Surgery, Hiroshima Memorial Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1988 Mar;89(3):464-9.
Fifty-nine years old female who complained of right back pain was diagnosed as having right adrenal myelolipoma preoperatively by ultrasound, CT and other examinations. The patient was cured by surgery. The resected tumor was 11.5 X 10.5 X 8.5 cm in size and 470 g in weight. Histopathological diagnosis was myelolipoma of Soós's type 1. Sixteen cases of myelolipoma, including our case have been reported in Japanese literature. The age of patients ranged from 20 to 60 (average 49.1) and male-female ratio was 11:5. Most patients presented with abdominal pain and abdominal mass, and had complication of obesity and hypertension. The lesion was more common on the right side (11:5). Their size was 3-21 cm (average 10.9 cm) and their weight was 10-1, 930 g (average 823 g). Adrenal myelolipoma can be certainly diagnosed preoperatively by ultrasound, CT and other examinations. Adrenal tumors showing normal adrenal endocrine function and fat density on CT examination indicate that they could be myelolipoma in their nature.
一名59岁女性因右背部疼痛就诊，术前经超声、CT等检查诊断为右肾上腺髓样脂肪瘤。患者经手术治愈。切除的肿瘤大小为11.5×10.5×8.5厘米，重量为470克。组织病理学诊断为Soós 1型髓样脂肪瘤。包括我们的病例在内，日本文献中已报道了16例髓样脂肪瘤病例。患者年龄在20至60岁之间（平均49.1岁），男女比例为11:5。大多数患者表现为腹痛和腹部肿块，并伴有肥胖和高血压并发症。病变多见于右侧（11:5）。其大小为3至21厘米（平均10.9厘米），重量为10至1930克（平均823克）。肾上腺髓样脂肪瘤术前通过超声、CT等检查可明确诊断。CT检查显示肾上腺内分泌功能正常且密度为脂肪的肾上腺肿瘤提示其本质可能为髓样脂肪瘤。
