Adrenal Adenomu Taklit Eden Bir Myelolipom Olgusu

Yıl 2022, Cilt: 2 Sayı: 1, 25 - 27, 25.04.2022

Semra Demirli Atıcı Ayberk Dursun Serdar Aydoğan Mehmet Üstün

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

Öz

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.

Anahtar Kelimeler

Adrenal, Adrenal kitle, Laparoskopik adrenalektomi, Myelolipom

A Case of Myelolipoma Mimicking Adrenal Adenoma

Öz

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.

Anahtar Kelimeler

Adnexal, Adnexal mass, Laparoscopic adrenalectomy, Myelolipoma

Kaynakça

• 1. Bokhari MR, Zulfiqar H, Garla VV. Adrenal Myelolipoma. [Updated 2022 Jan 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK436011/
• 2. Cha JS, Shin YS, Kim MK, Kim HJ. Myelolipomas of both adrenal glands. Korean J Urol. 2011; 52(8):582-585.
• 3. Decmann Á, Perge P, Tóth M, Igaz P. Adrenal myelolipoma: a comprehensive review. Endocrine. 2018;59(1):7-15. doi: 10.1007/s12020-017-1473-4. Epub 2017 Nov 21.
• 4. Zattoni D, Balzarotti R, Rosso R. The management of bilateral myelolipoma: Case report and review of the literature. Int J Surg Case Rep. 2015;12:31-36. doi:10.1016/j.ijscr.2015.04.021
• 5. German-Mena E, Zibari GB, Levine SN. Adrenal myelolipomas in patients with congenital adrenal hyperplasia: review of the literature and a case report. Endocr Pract. 2011;17(3):441-7.doi: 10.4158/EP10340.RA. PMID: 21324823.
• 6. Samimagham H, Kazemi Jahromi M, Bilateral Adrenal Myelolipoma, A Case Presentation and Brief Literature Review, Iran J Kidney Dis. 2020;14(1):62-64.
• 7. Ramirez M, Misra S., Adrenal myelolipoma: To operate or not? A case report and review of the literature., Int J Surg Case Rep. 2014;5(8):494-6. doi: 10.1016/j.ijscr.2014.04.001.