title: Symptomatic adrenal myelolipoma: therapeutic considerations.
abstract: Four cases of symptomatic myelolipoma of the adrenal gland are presented. Three were treated at laparotomy and one with a laparoscopic approach. On the basis of these four cases we discuss the aetiology, pathogenesis, clinical manifestations, diagnosis and treatment of this rare disease. We also report the follow-up of a patient with bilateral myelolipoma, who underwent monolateral excision. We conclude that myelolipoma, if correctly diagnosed, can be treated conservatively with careful follow-up, limiting surgery to symptomatic cases.
authors.affiliation: Dipartimento di Chirurgia, Università di Pisa, Italia.
authors.forename: C
authors.initials: C
authors.lastname: Spinelli
authors.forename: G
authors.initials: G
authors.lastname: Materazzi
authors.forename: P
authors.initials: P
authors.lastname: Berti
authors.forename: M
authors.initials: M
authors.lastname: Cecchi
authors.forename: G
authors.initials: G
authors.lastname: Morelli
authors.forename: P
authors.initials: P
authors.lastname: Miccoli
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018209:Myelolipoma / Q000175:diagnosis / Q000628:therapy*