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Adrenal Myelolipoma: Report of 2 Cases of a Rare Tumour

Spandan Sarmah, Department of Pathology, SRL Diagnostics Skylab, Guwahati, Assam 781007, India. , Spandan Sarmah1 , Anupam Sarma2

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Indian Journal of Pathology: Research and Practice 7(7):p 857-859, July 2018. | DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.7718.8

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Abstract

Introduction: Myelolipoma was described initially by Gierke in 1905 and the term was coined by Obenling in 1929. These are rare benign tumours of the adrenal gland with a cited estimated autopsy prevalence of 0.1-0.2%.

Materials and methods: Two cases have been reported. The first case was a 39 year old female patient and second case, a 42 year old female patient. Adrenalectomy was the surgical procedure done. On gross examination, Case 1 adrenal tissues measured 9 x 6 x 4 cm. Cut surface was firm, brownish coloured with yellowish areas in between. Case 2 tissue measured 7x6x4 cm. Cut surface was firm, brownish with yellowish areas.

Result: In both cases Hematoxylin & eosin stain of sections showed mature adipose tissue with scattered hemopoietic cells. Morphology favoured adrenal myelolipoma.

Conclusion: We conclude that adrenal myelolipomas are small and rare tumours. Myelolipomas are usually asymptomatic and must be monitored clinically for symptoms; routine follow-up imaging studies appear unnecessary for such lesions. Histomorphology suffices for diagnosis.

Keywords: Adrenal; Myelolipomas Adipose Tissue; Hemopoietic Cells; Histomorphology.

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DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.7718.8

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