Neumann M P, Manivel C, Dehner L P
Diagn Cytopathol. 1987 Mar;3(1):82-4. doi: 10.1002/dc.2840030116.
We report a case of myelolipoma of the adrenal gland diagnosed by ultrasound-guided fine-needle aspiration in a patient with bronchogenic carcinoma who was noted to have a 5-cm adrenal mass on computerized tomography during evaluation for metastatic disease. The cytologic features are characteristic and consist of mature adipocytes and bone marrow elements that are most clearly demonstrated on Wright-stained cytospin material. This case illustrates the importance of fine-needle aspiration in the evaluation of radiologically detected adrenal masses in patients with known malignancies. A cytologic diagnosis of benign or metastatic disease can eliminate the need for formal surgical exploration in selected cases.
我们报告一例肾上腺髓脂肪瘤，该病例是通过超声引导下细针穿刺活检诊断出来的。患者患有支气管源性癌，在评估转移性疾病时，计算机断层扫描发现其肾上腺有一个5厘米的肿块。细胞学特征具有特异性，由成熟的脂肪细胞和骨髓成分组成，在瑞氏染色的细胞离心涂片材料上表现最为明显。该病例说明了细针穿刺活检在评估已知恶性肿瘤患者放射学检测到的肾上腺肿块中的重要性。在某些病例中，良性或转移性疾病的细胞学诊断可以避免进行正式的手术探查。
