Adrenal Adenomu Taklit Eden Bir Myelolipom Olgusu

Year 2022, Volume: 2 Issue: 1, 25 - 27, 25.04.2022

Semra Demirli Atıcı , Ayberk Dursun , Serdar Aydoğan , Mehmet Üstün

https://doi.org/10.29228/aijhs.13

Abstract

Adrenal myelolipom, sıklıkla insidental saptanan, adrenal bezin nadir görülen hormon inaktif bir tümörüdür. Elli iki yaşında, sol yan ağrısı şikayetiyle başvuran kadın hastanın çekilen bilgisayarlı tomografisınde sol adrenalde 5 cm boyutunda kitle saptandı. Endokrinoloji tarafından adrenal adenom ön tanısı ile operasyon amaçlı tarafımıza yönlendirildi. Laparoskopik adrenalektomi uygulanan hasta postoperatif üçüncü gün sorunsuz bir şekilde taburcu edildi. Postoperatif spesimen patolojisi adrenal miyelolipom olarak raporlandı. Adrenal myelolipomlar genellikle asemptomatik ve küçük boyutta oldukları için cerrahi rezeksiyon önerilmemektedir. Bununla birlikte, semptomatik olan ve takiplerinde boyutu artmış adrenal myelolipomların tedavisinde cerrahi rezeksiyon düşünülmelidir.

Keywords

Adrenal, Adrenal kitle, Laparoskopik adrenalektomi, Myelolipom

A Case of Myelolipoma Mimicking Adrenal Adenoma

Abstract

Adrenal myelolipoma is a rare hormone inactive tumor of the adrenal gland, which is often detected incidentally.
A 52-year-old woman was admitted with a complaint of left flank pain. Computed tomography showed a 5 cm diameter left adrenal mass. The patient was referred to us for an operation with the presumptive diagnosis of adrenal adenoma by the department of endocrinology. The patient underwent laparoscopic adrenalectomy and was discharged without any problem on the third postoperative day. Postoperative specimen pathology was reported as adrenal myelolipoma.
Surgical resection is not generally recommended because adrenal myelolipomas are asymptomatic and small in size. However, surgical resection of myelolipoma that is symptomatic and has increased size in their follow-up should be considered.

Keywords

Adnexal, Adnexal mass, Laparoscopic adrenalectomy, Myelolipoma

References

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