[Myelolipoma of the adrenal gland in whole-body computed tomography. Report on 2 histologically confirmed cases with clinic-radiological correlations].
Myelolipomas are rare non-functioning benign lesions. They occur almost exclusively in the adrenals and are usually small and asymptomatic. We report two cases of unusually large symptomatic myelolipomas of the adrenal which were examined by urography, ultrasound, angiography and computed tomography (CT). A review of the literature of 25 similar cases is presented with a discussion of the pathogenesis. Diagnostic features of an adrenal myelolipoma are (1) a non-functioning, (2) radiolucent, (3) solid and (4) avascular mass arising from the adrenal. With CT the preoperative diagnosis becomes possible by assessing the fat contents, tumor alignment and lack of invasiveness.
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000328:Adult; D000792:Angiography; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Myelolipom der Nebenniere in der Ganzkörper-Computer-Tomographie. Bericht über zwei histologisch bestätigte Fälle mit klinisch-radiologischer Korrelation.