Multicentric Adrenal Myelolipomas: Case Report

Abstract

Adrenal myelolipomas are rare and non-functioning benign tumors. They are composed of adipose tissue and hemopoietic elements in varying proportions. In this report we present the case with two myelolipomas at the right adrenal gland that was undefined in the literature. A 40-year-old female patient referred our hospital for overweight. During searching the etiology of obesity, lesions were found incidentally on the abdominal computed tomography (CT) imaging. On the right adrenal gland two well-circumscribed mass lesions were found, and magnetic resonance imaging (MRI) was performed. After intravenous (IV) gadolinium administration no contrast enhancement was seen. Surgical operation was recommended to the patient, but the patient has not accepted yet. In the literature, bilateral adrenal myelolipomas were reported, but multicentric adrenal myelolipomas in the same adrenal gland have not been reported yet. In our case we have shown multicentric adrenal myelolipomas which can be seen in the same adrenal gland. Radiologic imaging keeps the most important place in the diagnosis of lesion and planning of the treatment.




J Med Cases. 2015;6(2):91-94
doi: http://dx.doi.org/10.14740/jmc1917w