Myelolipoma with adrenocortical adenoma: an unusual combination that can resemble carcinoma

Myelolipoma is a benign tumor that occurs in the adrenal gland and rarely in extra-adrenal sites. Commonly, it is diagnosed as an incidental finding. However, some reports indicate synchronous occurrence with other lesions including adrenocortical carcinoma. It has very rarely been reported to occur...

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Bibliographic Details
Published in:Endocrine pathology 2007-06, Vol.18 (2), p.103-105
Main Authors: Al-Brahim, Nabeel, Asa, Sylvia
Format: Article
Language:English
Subjects:
Adenoma - pathology
Adenoma - surgery
Adrenal Cortex Neoplasms - pathology
Adrenal Cortex Neoplasms - surgery
Adrenal glands
Adrenal Glands - pathology
Adrenalectomy
Aged
Aged, 80 and over
Carcinoma - pathology
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Myelolipoma - pathology
Myelolipoma - surgery
Organ Size
Tomography, X-Ray Computed
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Description
Summary:Myelolipoma is a benign tumor that occurs in the adrenal gland and rarely in extra-adrenal sites. Commonly, it is diagnosed as an incidental finding. However, some reports indicate synchronous occurrence with other lesions including adrenocortical carcinoma. It has very rarely been reported to occur in association with adrenocortical adenoma. In this paper, we report three cases of adrenal myelolipoma associated with adrenocortical adenoma; in all three patients, the radiological appearance resembled adrenocortical carcinoma. These cases emphasize the importance of this combination as a pitfall in the correct diagnosis and management of patients with adrenal masses.
ISSN:1046-3976
1559-0097
DOI:10.1007/s12022-007-0019-3