Adrenal myelolipoma

• Main Authors: V O Bondarenko, T I Depui, E V Bondarenko, G A Polyakova, N A Shapiro, N D Nikiforuk, A A Baev
• Format: Article
• Language: Russian
• Published: Endocrinology Research Centre 2013-12-01
• Series: Эндокринная хирургия
• Subjects: endocrine surgery; myelolipoma; adrenal tumor; us; ct; fna; frozen section; laparoscopic adrenalectomy
• Online Access: https://surg-endojournals.ru/serg/article/viewFile/6575/4351
• ISSN: 2306-3513; 2310-3965

Myelolipoma is a rare benign tumor, which as a rule big in size. It consists of fat tissue and red marrow ele- ments. The use of highly-informative methods of diagnostics (US, CT MRI, fine needle aspiration, cytology examination) permits to state the appropriate diagnosis in 85-95% cases. The issue of selecting the best diagnostic approach not only to define the presence of myelolipoma but also to exclude adrenal cortical can- cer and lymphosarcoma still remains topical. Is it possible to recommend these patients for follow-up? In what case is the surgery the only way of treatment? Why are most patients operated, while it is not typical of myelolipoma to become malignant?