Adrenal myelolipoma: from tumorigenesis to management

Abstract

Adrenal myelolipoma (MLS) is a rare, benign and non-functional neoplasm, composed of adipose tissueand myeloid. We report a rare case of adrenal myelolipoma ofa 20-year-old female revealed with chronicabdominal pain. Computed tomography (CT) scan of the abdomen guided diagnosis and surgical resection was performed given symptomatic and bulky mass. Histological examination confirmed the diagnosis. At 18 months after the surgery, the patient had no evidence of recurrence. The diagnosis of MLS is radiological. Therapeutic abstention is the rule for a small, asymptomatic tumors. The surgical removal is indicated when it is bulky (exceeds 7cm), symptomatic or hormonalactivity.

Keywords

• adrenal myelolipomas
• incidentaloma
• conservative management
• laparoscopic adrenalectomy