Περίληψη:
Giant adrenal myelolipoma is a rare, benign, sizable, mesenchymal tumor.
Preoperative differential diagnosis from retroperitoneal liposarcoma may
be challenging. A 66-year-old female patient was admitted because of a
sizable tumor at the right retroperitoneal space, incidentally
discovered during abdominal ultrasonography for screening purpose.
Preoperative imaging studies were indicative for the diagnosis of a
giant adrenal myelolipoma (11.7 x 12.9 cm in size); however, a
retroperitoneal liposarcoma could not be excluded. We decided to proceed
with tumor's surgical removal by using laparoscopic transperitoneal
approach and three-dimensional high-definition camera. Intraoperatively,
the tumor did not infiltrate surrounding tissues and was surrounded by a
thin capsule under which there were sparse, orange-colored spots that
resembled adrenal cortex. This finding reinforced the initial and most
possible diagnosis of adrenal myelolipoma and we easily enucleated the
mass. Postoperative course was uneventful, and the patient demonstrated
no recurrence on imaging six months postoperatively. Histology confirmed
the diagnosis of giant adrenal myelolipoma, measuring 16.5 x 15 x 6.5
cm.
Συγγραφείς:
Katsimantas, Antonios
Filippou, Dimitrios
Melloy, Argiro and
Paparidis, Spyridon
Ferakis, Nikolaos
