Myelolipomatous changes within adrenocortical adenoma

• Published in: Cukurova Medical Journal Vol. 44; no. 3; pp. 1135 - 1138
• Main Authors: Fırat,Canan, Eryiğit,Seda, Yener,Serkan, Demir,Tevfik, Bozkurt,Ozan, Demir,Ömer, Tuna,Burçin Emine, Yörükoğlu,Kutsal
• Format: Journal Article
• Language: English
• Published: Çukurova Üniversitesi Tıp Fakültesi 30-09-2019
• Subjects: Tıp; Türkiye; Adana; Adenoma; adrenal; myelolipoma; non-functional; cortical
• ISSN: 2602-3032; 2602-3040
• DOI: 10.17826/cumj.494051

Myelolipoma is a rare benign tumor which is generally detected incidentally. The tumor consists of mature fat tissue and hematopoietic cells that resemble bone marrow. The coexistence of myelolipoma and non-functional adrenocortical adenoma in the same gland is exceedingly rare. We herein present two cases of adrenal myelolipoma in association with non-functional adrenocortical adenoma in left adrenal gland of a 62-year-old woman and non-functional adrenocortical adenoma combined with myelolipoma and endothelial cyst, in right adrenal gland of a 73-years-old man. Microscopically, in the central of the tumor, there was a myelolipomatous area composed of adipocytes and hematopoietic cells surrounded by sheets of adenoma cells. The histopathological diagnosis was “myelolipomatous changes within a non-functional adrenocortical adenoma”. The cases are presented here with their rarity and pathological differential diagnosis.