|Table of Contents|

Diagnosis and treatment of adrenal myelolipoma (report of 16 cases and literature review)

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 05
Page:
750-752
Research Field:
Publishing date:

Info

Title:
Diagnosis and treatment of adrenal myelolipoma (report of 16 cases and literature review)
Author(s):
Sun Ming1Zhao Wenyan2Pan Chunyu1Zhang Feng1Wu Bin1
1.Department of Urology;2.Department of General Surgery,Shengjing Hospital of China Medical University,Liaoning Shenyang 110004,China.
Keywords:
adrenal glandtumorlaparoscopyoperation
PACS:
R730.262
DOI:
10.3969/j.issn.1672-4992.2017.05.020
Abstract:
Objective:To analyze the diagnosis and treatment of adrenal myelolipoma (AML).Methods:To review historical document,a retrospective analysis was going on 16 cases of the adrenal myelolipoma (AML) from 2010 to 2015 about clinical features,imaging characteristics,approach surgery and prognosis.Results:Mean patients age was 46.2 years (range 29 to 70),5 men and 11 women.14 of the cases were on the right adrenal gland and only 2 cases were on the left.9 cases had no symptoms,5 cases complained about simple backache,1 case suffered from lower back pain and edema,1 case mainly suffered from hypertension,palpitation and dizziness.16 cases were all taken ultrasound or CT scan for diagnosis and undertaken open or laparoscopic surgery for adrenal gland and the tumor incision.During 3 to 36 months follow-up,the primary symptoms disappeared,no tumor relapse.Conclusion:The diagnosis of AML is depended on the image logical method and the treatment mainly is the surgery.Meanwhile,the operation could avoid symptoms of recurrent,improve the quality of life.The laparoscopic surgery is the first choice if there is no contraindications.

References:

[1]Mannelli M,Colagrande S,Valeri A,et al.Incidental and metastatic adrenal masses[J].Semin Oncol,2010,37(6):649-661.
[2]Bednarek-Tupikowska G,Tupikowski K,Akinpelumi BF.Adrenal myelolipoma[J].Pol Merkur Lekarski,2005,18(103):107-110.
[3]Hsu SW,Shu K,Lee WC,et al.Adrenal mylolipoma:a 10-year single-center experience and literature review[J].Kaohsiung J Med Sci,2012,28(7):377-382.
[4]Camarero-Temio V,Mercado-Ortiz V,Hijazi-Prieto B,et al.Adrenal myelolipoma associated with primary hyperaldosteronism[J].Nefrologia,2012,32(1):124-125.
[5]Patel VG,Babalola OA,Fortson JK,et al.Adrenal myelolipoma:report of a case and review of the literature[J].Am Surg,2006,72(7):649-654.
[6]Low G,Dhiwayo H,Lomas DJ.Adrenal neoplasma[J].Clin Radiol,2012,67(10):988-1000.
[7]Reginelli A,Di Grezia G,Izzo A,et al.Imaging of adrenal incidentaloma:our experience[J].Int J Surg,2014,12(1):126-131.
[8]Gurbuz E,Sayar H,Bakaris S,et al.Adrenal myelolipoma's connection with adenoma in the same adrenal gland[J].BMJ Case Rep,2013,20:2013.
[9]Wani NA,Kosar T,Rawa IA,et al.Giant adrenal myelolipoma:Incidentaloma with a rare incidental association[J].Urol Ann,2010,2(3):130-133.
[10]Katabathina VS,Flaherty E,Kaza R,et al.Adrenal collision tumors and their mimics:multimodality imaging findings[J].Cancer Imaging,2013,13(4):602-610.
[11]Bradbury R,Lambrianides AL,O' Loughlin B,et al.Image of the month.Adrenal myelolipoma[J].Arch Surg,2011,146(12):1445-1446.
[12]Shenoy VG,Thota A,Shankar R,et al.Adrenal myelolipoma:Controversies in its management[J].Indian J Urol,2015,31(2):94-101.
[13]Daneshmand S,Quek ML.Adrenal myelolipoma:diagnosis and management[J].J Urol,2006,3(2):71-74.
[14]Castillo OA,Vitagliano G,Cortes O,et al.Laparoscopic adrenalectomy for adrenal myelolipoma[J].Arch Esp Urol,2007,60(2):217-221.
[15]Maestroni U,Ziglioli F,Dinale F,et al.Is laparoscopy contraindicated in giant adrenal masses[J].Surg Laparosc Endosc Percutan Tech,2010,20(4):288-290.
[16]Shen WT,Kebebew E,Clark OH,et al.Reasons for conversion from laparoscopic to open or hand-assisted adrenalectomy:review of 261 laparoscopic adrenalectomies from 1993 to 2003[J].World J Surg,2004,28(11):1176-1179.
[17]Yin L,Teng J,Zhou Q,et al.A 10-year single-center experience with surgical management of adrenal myelolipoma[J].J Endourol,2014,28(2):252-255.
[18]Gershuni VM,Bittner JG,Moley JF,et al.Adrenal myelolipoma:operative indications and outcomes[J].J Laparoendosc Adv Surg Tech A,2014,24(1):8-12.
[19]Shen X,Qiu Y,Zheng Y,et al.Retroperitoneal laparoscopic liposuction for large adrenal myelolipomas:a report of nine cases[J].J Laparoendosc Adv Surg Tech A,2012,22(6):578-580.
[20]Yamashita S,Ito K,Furushima K,et al.Laparoscopic versus open adrenalectomy for adrenal myelolipoma[J].Ann Med Surg (Lond),2014,3(2):34-38.

Memo

Memo:
-
Last Update: 2017-01-26