Combined adrenal myelolipoma and medullary hyperplasia.
OBJECTIVE
A patient is reported with hypertension due to combined medullary adrenal hyperplasia and myelolipoma.


METHODS
A 52-year-old woman with long-standing hypertension was evaluated for an incidentally discovered large tumor of the left adrenal. Left adrenalectomy was performed for a presumptive clinical diagnosis of pheochromocytoma.


RESULTS
Histopathologic examination revealed a mixed tumor consisting of a large myelolipoma with infiltrating foci of adrenal medulla.


CONCLUSIONS
A patient is described with hypertension, myelolipoma and adrenal medullary hyperplasia; following adrenalectomy, however, blood pressure and biochemical abnormalities normalized.
Ishay
Avraham
A
Institute of Endocrinology, Haemek Medical Center, Afula, Israel. ishay_av@clalit.org.il
Dharan
Muralee
M
Luboshitzky
Rafael
R
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000313:Adrenal Medulla / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008875:Middle Aged; D018209:Myelolipoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009378:Neoplasms, Multiple Primary; D010673:Pheochromocytoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed