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Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 122-125

Giant myelolipoma of left adrenal gland simulating a retroperitoneal sarcoma

1 Department of Pathology, ESI PGIMSR, Manicktala, India
2 Department of Pathology, Medical College and Hospital, Kolkata, West Bengal, India

Correspondence Address:
Senjuti Dasgupta
Department of Pathology, Medical College, 88, College Street, Kolkata, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2349-4220.172896

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Adrenal myelolipoma is a rare benign tumor composed of an admixture of adipose and hematopoietic tissue. Most tumors are asymptomatic, small in size, right-sided, and usually detected incidentally. Though they are often smaller than four cm in diameter, they can reach larger sizes. Giant adrenal myelolipomas are extremely rare tumors having only about 10 reported cases in the literature. Presently, a case is being reported in a 59-year-old lady who presented with abdominal distention and dragging sensation in the upper left abdomen. Computed tomography of the abdomen revealed a retroperitoneal tumor which was suspected to be a retroperitoneal sarcoma. Other fat containing retroperitoneal tumors such as a lipoma, myelolipoma and teratoma were also considered as possibilities. All hormonal studies related to adrenal gland were within normal limits. The patient underwent surgical resection of the tumor. The resected mass was 23 cm × 16 cm ×9 cm in size and weighed 3.3 kg. Histopathological examination revealed the tumor to be an adrenal myelolipoma. This present case of adrenal myelolipoma is unusual in view of its left-sided location and its large size which clinically and radiologically simulated a retroperitoneal sarcoma.

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