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2025, Number 6

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Acta Med 2025; 23 (6)

Adrenal myelolipoma in a single kidney patient, laparoscopic surgical technique

Ocampo MA, Buensuceso CNAR, Romero SJA, Camacho RH, Ramírez LJA
Full text How to cite this article 10.35366/121699

DOI

DOI: 10.35366/121699
URL: https://dx.doi.org/10.35366/121699

Language: Spanish
References: 5
Page: 552-554
PDF size: 571.60 Kb.


Key words:

myelolipoma, adrenal incidentaloma, adrenal tumor, laparoscopic approach.

ABSTRACT

Introduction: adrenal myelolipomas are rare benign neoplasms of adipose and hematopoietic tissue, mostly asymptomatic. They are usually diagnosed incidentally, and the surgical treatment of choice is laparoscopic adrenalectomy. Clinical case: 47-year-old female with a left single kidney who underwent simple abdominal tomography in the context of renal colic and hematuria, observing a tumor in the left adrenal gland measuring 9.1 × 7.9 × 8.1 centimeters. Based on the tumor size, she underwent laparoscopic left adrenalectomy, obtaining a pathological study confirming adrenal myelolipoma. Conclusions: every patient with an adrenal tumor should undergo a comprehensive evaluation to determine the potential malignancy and hormonal activity of the lesion, in order to establish the most appropriate therapeutic approach.


REFERENCES

  1. Calissendorff J, Juhlin CC, Sundin A, Bancos I, Falhammar H. Adrenal myelolipomas. Lancet Diabetes Endocrinol. 2021; 9 (11): 767-775.

  2. Ichijo T, Ueshiba H, Nawata H, Yanase T. A nationwide survey of adrenal incidentalomas in Japan: the first report of clinical and epidemiological features. Endocr J. 2020; 67 (2): 141-152.

  3. Fassnacht M, Tsagarakis S, Terzolo M, Tabarin A, Sahdev A, Newell-Price J et al. European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors. Eur J Endocrinol. 2023; 189 (1): G1-G42.

  4. Bokhari MR, Zulfiqar H, Garla VV. Adrenal myelolipoma. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

  5. Decmann A, Perge P, Tóth M, Igaz P. Adrenal myelolipoma: a comprehensive review. Endocrine. 2018; 59 (1): 7-15.




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C?MO CITAR (Vancouver)

Acta Med. 2025;23