A Rare Mimicker of an Adrenal Carcinoma: Co-occurrence of Hemorrhagic Pseudocyst and Myelolipoma

Abstract

Adrenal collision tumors are rare tumors composed of two different benign or malignant tumors in the adrenal gland. Radiological features are very helpful in the diagnosis, however it is not always possible to make a definite diagnosis with imaging findings alone because the coexisting masses contain different tissue components. In this paper, we report the imaging findings of an adrenal lesion with pseudocyst and myelolipoma mimicking an adrenocortical carcinoma in a 42-year-old female patient. To the best of our knowledge, this is the first reported case of an adrenal lesion containing myelolipoma and hemorrhagic pseudocyst mimicking an adrenal carcinoma in the literature.

Keywords

• Adrenal lesions
• Adrenal pseudocyst
• Myelolipoma
• Computed tomography
• Magnetic resonance imaging