Sato F, Hasegawa M, Suzuki K, Kurosawa T, Fujioka T, Kubo T
Department of Urology, Yamamoto Kumiai Sogo Hospital.
Hinyokika Kiyo. 1993 Jan;39(1):33-6.
We report a case of adrenal myelolipoma occurring in a 58-year-old-woman. A tumor was incidentally detected in the right adrenal region by ultrasonography during admission to our hospital due to gastric ulcer. Ultrasonography revealed punctate calcification within the tumor. No endocrinologic abnormalities were demonstrated. CT revealed a nonhomogenous mass 5 cm in diameter that consisted of tissue with a fatty density and areas of calcifications. Retrograde femoral angiography demonstrated that the tumor was relatively hypervascular. Large blood vessels resembled sinusoids that were demonstrated by pooling of the contrast medium. Right adrenalectomy was performed. The histological diagnosis was adrenal myelolipoma.
我们报告一例发生在一名58岁女性身上的肾上腺髓质脂肪瘤。该患者因胃溃疡入院，在我院接受超声检查时偶然发现右侧肾上腺区有一个肿瘤。超声检查显示肿瘤内有散在点状钙化。未发现内分泌异常。CT显示一个直径5厘米的不均匀肿块，由脂肪密度组织和钙化区域组成。逆行股动脉血管造影显示该肿瘤血供相对丰富。大血管类似血窦，造影剂积聚可显示其形态。遂行右侧肾上腺切除术。组织学诊断为肾上腺髓质脂肪瘤。
