Rahoui Moez, Ouanes Yassine, Chaker Kays, Dali Kheireddine Mrad, Bibi Mokhtar, Sellami Ahmed, Rhouma Sami Ben, Nouira Yassine
Urology Department, La Rabta Hospital, Tunis, Tunisia.
J Surg Case Rep. 2022 May 28;2022(5):rjac213. doi: 10.1093/jscr/rjac213. eCollection 2022 May.
Myelolipoma is a rare, benign, non-secreting tumor and its pathophysiology is of metaplasia of the cells of the adrenal cortex into reticuloendothelial cells. Although they are often small and asymptomatic, some cases of giant adrenal myelolipoma cause symptoms such as chronic pain. Few cases of adrenal myelolipoma have been reported in the literature. We present a case of a large right adrenal myelolipoma in a 26-year-old female patient, who presented with an adrenal mass, and discuss the challenges of diagnosis and treatment.
肾上腺髓质脂肪瘤是一种罕见的良性无分泌性肿瘤,其病理生理学是肾上腺皮质细胞向网状内皮细胞的化生。尽管它们通常较小且无症状,但一些巨大肾上腺髓质脂肪瘤病例会引起慢性疼痛等症状。文献中报道的肾上腺髓质脂肪瘤病例较少。我们报告一例26岁女性患者的巨大右侧肾上腺髓质脂肪瘤病例,该患者表现为肾上腺肿块,并讨论诊断和治疗的挑战。