ADRENAL MYELOLIPOMA
- Authors: Fedorov EA1, Sablin IV1
-
Affiliations:
- Federal State Organization Saint-Petersburg clinical branch «Pirogov National Medical & Surgical Center» Ministry of Healthcare and Social Development, Saint-Petersburg, Russia
- Issue: Vol 6, No 4 (2014)
- Pages: 79-85
- Section: Reviews
- URL: https://journals.eco-vector.com/vszgmu/article/view/8450
- DOI: https://doi.org/10.17816/mechnikov20146479-85
- ID: 8450
Cite item
Abstract
Myelolipoma is a rare benign tumor that is usually asymptomatic, one-sided as a rule and hormonally inactive. It consists of mature adipose tissue with inclusion of hematopoietic cells. Most often it occurs in the adrenal gland. Patients with incidentally identified myelolipoma require careful examination in order to plan optimal management tactics. Using highly informative methods of radiodiagnostics (ultrasound, CT, MRI) allows to establish the correct diagnosis in most cases. Currently, the choice of the optimal survey algorithm, which allows not only to diagnose myelolipoma, but also to differentiate it from malignant tumors of adrenal glands, has not lost its relevance. The issues of follow-up of these patients, indications for surgery and methods of surgical interventions are also relevant.
Full Text
About the authors
E A Fedorov
Federal State Organization Saint-Petersburg clinical branch «Pirogov National Medical & Surgical Center» Ministry of Healthcare and Social Development, Saint-Petersburg, Russia
I V Sablin
Federal State Organization Saint-Petersburg clinical branch «Pirogov National Medical & Surgical Center» Ministry of Healthcare and Social Development, Saint-Petersburg, Russia
References
- Nabi J. Incidental detection of adrenal myelolipoma: a case report and review of literature / J. Nabi, D. Rafiq, F.N. Authoy, G.N. Sofi // Case Reports in Urology. - Volume 2013 (2013), Article ID 789481.
- Clark O.H. Endocrine Tumors. In: American Cancer Society Atlas of Clinical Oncology, 1st. / O.H. Clark, Q.Y. Duh, N.D. Perriet, T.M. Jahan // - B.C. Decker, Inc. London. - 2003.
- Bandurski R. Rare case of multifocal (adrenal and extra - adrenal ) myelolipoma / R. Bandurski, K. Zaręba, B. Kędra // Pol Przegl Chir. - 2013 Jun. 1. - № 85 (6). - P. 348-350.
- Ersoy E. Giant adrenal myelolipoma associated with small bowel leiomyosarcoma: a case report / E. Ersoy, M. Ozdoğan, A. Demirağ, R. Aktimur, H. Kulaçoğlu, S. Kulaçoğlu, H. Gündoğdu // The Turkish Journal of Gastroenterology. - 2006. - Vol.17. - P. 126-129.
- Бондаренко В.О. Миелолипома надпочечников / В.О. Бондаренко, Т.И. Дэпюи, Е.В. Бондаренко, Г.А. Полякова, Н.А. Шапиро, Н.Д. Никифорук, А.А. Баев // Эндокринная хирургия. - 2013. - №4. - с. 25-28.
- Patel V.G. Adrenal myelolipoma: report of a case and review of the literature / V.G. Patel, O.A. Babalola, J.K. Fortson, W.L. Weaver // Am Surg. - 2006. - № 72(7). - P. 649-654.
- Daneshmand S. Adrenal myelolipoma: diagnosis and management S. Daneshmand, M.L. Quek // Journal of Urology. - 2006. - Vol. 3. - P. 71-74.
- Полякова Г.А. Варианты миелолипом надпочечника и редкие сочетанные заболевания / Г.А. Полякова, А.П. Калинин // Альманах клинической медицины. - 2014. - № 32. - с.105-111.
- Bishop E. Adrenal myelolipomas show nonrandom X-chromosome inactivation in hematopoietic elements and fat: support for a clonal origin of myelolipomas / E. Bishop, J.N. Eble, L. Cheng, M. Wang, D.R. Chase, A. Orazi, D.P. O’Malley // Am J Surg Pathol. - 2006. - № 30(7). - P. 838-843.
- Feng C. Adrenal myelolipoma: a mingle of progenitor cells? / C. Feng, H. Jiang, Q. Ding, H. Wen // Med Hypotheses. - 2013. - №80(6). - P. 819-822.
- Cha J.S. Myelolipomas of both adrenal glands / J.S. Cha, Y.S. Shin, M.K. Kim et al. // Korean J Urol. - 2011. - Vol. 52. - P. 582-585.
- Ветшев П.С. Инциденталомы надпочечников / П.С. Ветшев, Л.И. Ипполитов, В.А. Синатулина // Проблемы эндокринологии. - 1998. - № 4. - с. 37-45.
- Кузнецов Н.С. Сравнительная оценка различных методов диагностики при заболеваниях надпочечников / Н.С. Кузнецов, В.П. Ягельский, Ю.В. Кулезнева // Хирургия. - 1994. - № 1. - с. 37-41.
- Устюганова A.B. Скрининговое обследование пациентов с инциденталомой надпочечников / A.B. Устюганова, М.Ф. Калашникова, Д.Г. Бельцевич // Проблемы эндокринологии. - 2008. - № 4. - с. 45-49.
- Rubin H. Myelolipoma of the adrenal gland / H. Rubin, F. Hirose, J. Benfield // Am J Surg. - 1975. - № 3(130). - Р. 354-358.
- Dan D. Extra-adrenal perirenal myelolipoma. A case report and review literature / D. Dan, S. Bahadursingh, S. Harinaran, С. Ramjit, V. Naraynsingh, R. Maharaj // G Chir. - 2012. - № 33. - Р. 62-65.
- Sanders R. Clinical spectrum of adrenal myelolipoma: analysis of 8 tumors in 7 patients / R. Sanders, N. Bissada, N. Curry, B. Gordon // J Urol. - 1995. - № 6(153). - Р. 1791-1793.
- Franiel T. Bilateral thoracic extraadrenal myelolipoma / T. Franiel, B. Fleischer, B.W. Raab, L. Fuzesi // Eur J Cardiol Thorac Surg. - 2004. - Vol. 26. - P. 1220-1222.
- Yamura Y. A case of retroperitoneal teratoma difficult to distinguish from myelolipoma / Y. Yamura // Hinyokika Kiko. - 2000. - Vol. 46. - P. 891-894.
- Spanat R. Fine needle aspiration diagnosis of extraadrenal myelolipoma presenting as a pleural mass / R. Spanat, H.A. Saleh, G. Khatib // Acta Cytol. - 1999. - Vol. 43. - P. 295-298.
- Щетинин В.В. Новообразования надпочечников / (В.В. Щетинин, Н.А. Майстренко, В.Н. Егиев под общей редакцией акад. РАМН, проф. В.Д. Федорова). - 2002. - М.: ИД Медпрактика-М. - 196 с.
- Han M. The natural history and treatment of adrenal myelolipoma / M. Han, A.L. Burnett, A.L. Fishman, F.F. Marshall // J Urol. - 1997. - № 4(157). - Р. 1213-1216.
- Ketelsen D. Diagnosis of bilateral giant adrenal myelolipoma / D. Ketelsen, C.H. von Weyhern, M. Horger // J Clin Oncol. - 2010. - Vol. 28. - P. e678-e679.
- Brogna A. Giant secreting adrenal myelolipoma in a man: a case report / A. Brogna, G. Scalisi, R. Ferrara, A.M. Bucceri // Journal of Medical Case Reports. - 2011. - Vol. 5, article 298.
- Amin M.B. Myelolipoma of the renal sinus. An unusual site for rare extraadrenal lesions / M.B. Amin, S.K. Tickoo, D. Schultz // Arch Pathol Lab Med. - 1999. - Vol. 123. - P. 631-634.
- Low G. Adrenal neoplasms / G. Low, H. Dhliwayo, D.J. Lomas // Clinical Radiology. - 2012. - Vol. 67. - P. 988-1000.
- Майстренко Н.А. Гормонально-неактивные опухоли надпочечников / Н.А. Майстренко, В.С. Довганюк, Н.Ф. Фомин, П.Н. Ромащенко - СПб.: ЭЛБИ-СПб. - 2001. - 176 с.
- Gurbuz E. Adrenal myelolipoma's connection with adenoma in the same adrenal gland / E. Gurbuz, H. Sayar, S. Bakaris, M.F. Inci // BMJ Case Rep. - 2013 May 20; 2013. pii: bcr2013008925.
- Akamatsu H. Giant adrenal myelolipoma: report of a case / H. Akamatsu, M. Koseki, H. Nakaba, S. Sunada, A. Ito, S. Teramoto, M. Miyata // Surg Today.- 2004. - Vol. 34. - P. 283-285.
- Rao P. Imaging and pathologic features of myelolipoma / P. Rao, P.J. Kenney, B.J. Wagner, A.J. Davidson // RadioGraphics. - 1997. - Vol. 17. - P. 1373-1385.
- Yokota T. Adrenal myelolipoma discovered incidentally on abdominal CT and MR imaging / T. Yokota, T. Takahashi, Y. Fujita, T. Sasabe, T. Nishiue, M. Matsui, K. Kuwata, Y. Suganuma, T. Majima, S. Yamaguchi // Gastroenterol Japanica. - 1989. - Vol. 24. - P. 195-197.
- Воронцова С.В. Современная лучевая диагностика гормонально- активных опухолей надпочечников: Автореф. дис.. канд. мед. наук / С.В. Воронцова. - М., 2002. - 26 с.
- Beiša V. Single access retroperitoneoscopic adrenalectomy: initial experience / V. Beiša, E. Kildušis, K. Strupas // Wideochir Inne Tech Malo Inwazyjne. - Mar 2012. - № 7(1). - Р. 45-49.
- Gershuni V.M. Adrenal myelolipoma: operative indications and outcomes / V.M. Gershuni, J.G. Bittner 4th, J.F. Moley, L.M. Brunt // J Laparoendosc Adv Surg Tech A. - 2014 Jan. 24. - Vol. (1). - P. 8-12.
- Yin L. A 10-year single-center experience with surgical management of adrenal myelolipoma / L. Yin, J. Teng, Q. Zhou, Y. Liu, Y. Yao, Y. Gao, X. Cui, J. Ren, D. Xu // J Endourol. - 2014 Feb. - Vol. 28(2). - P. 252-255.