Adrenal myelolipoma:clinical diagnosis and management of 26 cases.
- Author:
Ying-long SA
1
;
Yue-min XU
;
Yong QIAO
;
Cong-rui JIN
;
Jie-min SI
Author Information
- Publication Type:Journal Article
- MeSH: Adrenal Gland Neoplasms; diagnosis; surgery; Adrenalectomy; Adult; Female; Follow-Up Studies; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Myelolipoma; diagnosis; surgery; Retrospective Studies; Tomography, X-Ray Computed
- From: Chinese Journal of Surgery 2004;42(23):1444-1446
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the diagnosis and management of adrenal myelolipoma.
METHODSThe clinical data of 26 cases were analyzed retrospectively and the selected articles were reviewed. There were no specific clinical symptom and endocrine abnormality, except increasing catecholamine in 2 cases. All cases but two were diagnosed by B-model ultrasound scanning (B-US), CT or magnetic resonance imaging (MRI).
RESULTSTwenty-six cases were surgically treated, the diameter of the tumor was 5 - 10 cm, simple tumor resection was performed in 16 cases, and complete adrenal resection was performed in 10 cases. All the operated cases were proved by pathologists. The duration of follow-up was from 6 - 28 months after surgery. No recurrence was observed.
CONCLUSIONSThe diagnosis of adrenal myelolipoma could be established based on B-US, CT or MRI. The tumors whose diameter is larger than 5 cm in size should be removed.
