Incidentally discovered adrenal mass: A study of two cases and review of literature

Adrenal myelolipoma is a rare tumor that is benign in nature, usually asymptomatic, unilateral, and nonsecreting. It is composed of variable mixture of mature adipose tissue and hematopoietic elements and develops within the adrenal gland. With the widespread use of cross-sectional imaging modalitie...

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Main Authors: Ruchi Nagpal, Purnima Malhotra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Dr. NTR University of Health Sciences
Subjects:
Online Access:http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2019;volume=8;issue=3;spage=225;epage=228;aulast=Nagpal
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spelling doaj-dfb28146c8f9497883837a46fa7dd9892020-11-25T01:15:26ZengWolters Kluwer Medknow PublicationsJournal of Dr. NTR University of Health Sciences2277-86322019-01-018322522810.4103/JDRNTRUHS.JDRNTRUHS_106_18Incidentally discovered adrenal mass: A study of two cases and review of literatureRuchi NagpalPurnima MalhotraAdrenal myelolipoma is a rare tumor that is benign in nature, usually asymptomatic, unilateral, and nonsecreting. It is composed of variable mixture of mature adipose tissue and hematopoietic elements and develops within the adrenal gland. With the widespread use of cross-sectional imaging modalities such as ultrasonography (USG) and computed tomography (CT), the incidental detection of these tumors is increasing in frequency. We report two cases of adrenal myelolipoma in a 48-year-old female and a 47-year old male who presented with pain in the abdomen. Contrast-enhanced computed tomography scan of the abdomen revealed the possibility of myelolipoma. The patients were subjected to adrenalectomy and their postoperative course was uneventful. The histopathological evaluation of the mass confirmed the initial diagnosis of adrenal myelolipoma. Although mostly discovered as an “incidentaloma,” the diagnosis of adrenal myelolipoma requires thorough diagnostic study. Imaging techniques such as USG and CT scans as well as biochemical studies are useful for indicating the best treatment taking into account the size of the mass and possible hormone production. Surgical resection is advocated through extraperitoneal approach as it minimizes postoperative complications and leads to quicker recovery.http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2019;volume=8;issue=3;spage=225;epage=228;aulast=Nagpaladrenalcomputed tomographymyelolipoma
collection DOAJ
language English
format Article
sources DOAJ
author Ruchi Nagpal
Purnima Malhotra
spellingShingle Ruchi Nagpal
Purnima Malhotra
Incidentally discovered adrenal mass: A study of two cases and review of literature
Journal of Dr. NTR University of Health Sciences
adrenal
computed tomography
myelolipoma
author_facet Ruchi Nagpal
Purnima Malhotra
author_sort Ruchi Nagpal
title Incidentally discovered adrenal mass: A study of two cases and review of literature
title_short Incidentally discovered adrenal mass: A study of two cases and review of literature
title_full Incidentally discovered adrenal mass: A study of two cases and review of literature
title_fullStr Incidentally discovered adrenal mass: A study of two cases and review of literature
title_full_unstemmed Incidentally discovered adrenal mass: A study of two cases and review of literature
title_sort incidentally discovered adrenal mass: a study of two cases and review of literature
publisher Wolters Kluwer Medknow Publications
series Journal of Dr. NTR University of Health Sciences
issn 2277-8632
publishDate 2019-01-01
description Adrenal myelolipoma is a rare tumor that is benign in nature, usually asymptomatic, unilateral, and nonsecreting. It is composed of variable mixture of mature adipose tissue and hematopoietic elements and develops within the adrenal gland. With the widespread use of cross-sectional imaging modalities such as ultrasonography (USG) and computed tomography (CT), the incidental detection of these tumors is increasing in frequency. We report two cases of adrenal myelolipoma in a 48-year-old female and a 47-year old male who presented with pain in the abdomen. Contrast-enhanced computed tomography scan of the abdomen revealed the possibility of myelolipoma. The patients were subjected to adrenalectomy and their postoperative course was uneventful. The histopathological evaluation of the mass confirmed the initial diagnosis of adrenal myelolipoma. Although mostly discovered as an “incidentaloma,” the diagnosis of adrenal myelolipoma requires thorough diagnostic study. Imaging techniques such as USG and CT scans as well as biochemical studies are useful for indicating the best treatment taking into account the size of the mass and possible hormone production. Surgical resection is advocated through extraperitoneal approach as it minimizes postoperative complications and leads to quicker recovery.
topic adrenal
computed tomography
myelolipoma
url http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2019;volume=8;issue=3;spage=225;epage=228;aulast=Nagpal
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AT purnimamalhotra incidentallydiscoveredadrenalmassastudyoftwocasesandreviewofliterature
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