Skip to main content
SpringerLink
Log in

Radiologic–pathologic correlation in extra-adrenal myelolipoma

  • Case Report
  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

Myelolipoma is an uncommon benign tumor that classically arises in the adrenal glands. Most cases are asymptomatic, with incidental detection of this tumor on cross-sectional imaging performed for other causes. Extra-adrenal occurrence of myelolipoma has been infrequently reported, with scarce radiology literature on the topic. We present radiologic and pathologic correlation in two cases of image-guided biopsy proven extra-adrenal myelolipoma in the presacral and paraaortic location, with review of literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Akamatsu H, Koseki M, Nakaba H, et al. (2004) Giant adrenal myelolipoma: report of a case. Surg Today 34(3):283–285

    Article  PubMed  Google Scholar 

  2. Kenney PJ, Wagner BJ, Rao P, Heffess CS (1998) Myelolipoma: CT and pathologic features. Radiology 208(1):87–95

    CAS  PubMed  Google Scholar 

  3. Singla AK, Kechejian G, Lopez MJ (2003) Giant presacral myelolipoma. Am Surg 69(4):334–338

    PubMed  Google Scholar 

  4. Kumar M, Duerinckx AJ (2004) Bilateral extra-adrenal perirenal myelolipomas: an imaging challenge. AJR Am J Roentgenol 183(3):833–836

    Article  PubMed  Google Scholar 

  5. Temizoz O, Genchellac H, Demir MK, Unlu E, Ozdemir H (2010) Bilateral extra-adrenal perirenal myelolipomas: CT features. Br J Radiol 83(994):e198–e199

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Shapiro JL, Goldblum JR, Dobrow DA, Ratliff NB (1995) Giant bilateral extra-adrenal myelolipoma. Arch Pathol Lab Med 119(3):283–285

    CAS  PubMed  Google Scholar 

  7. Hunter SB, Schemankewitz EH, Patterson C, Varma VA (1992) Extraadrenal myelolipoma. A report of two cases. Am J Clin Pathol 97(3):402–404

    CAS  PubMed  Google Scholar 

  8. Sawhney R, McRae B, Lazarchick J (2006) A rare case of a multifocal extra-adrenal myelolipoma with markedly hypocellular bone marrow. Ann Clin Lab Sci 36(2):208–211

    PubMed  Google Scholar 

  9. Karam AR, Nugent W, Falardeau J, et al. (2009) Multifocal extra-adrenal myelolipoma arising in the greater omentum. J Radiol Case Rep 3(11):20–23

    PubMed Central  PubMed  Google Scholar 

  10. Dann PH, Krinsky GA, Israel GM (2008) Case 135: presacral myelolipoma. Radiology 248(1):314–316

    Article  PubMed  Google Scholar 

  11. Rao P, Kenney PJ, Wagner BJ, Davidson AJ (1997) Imaging and pathologic features of myelolipoma. Radiographics 17(6):1373–1385

    Article  CAS  PubMed  Google Scholar 

  12. Hartman DJ, Kelly SM, Wiehagen L, Yousem SA (2013) Tissue adequacy for ancillary studies beyond frozen section: a potential method for improving diagnostic and therapeutic results. Int J Surg Pathol 21:583–586

    Article  PubMed  Google Scholar 

  13. Settakorn J, Sirivanichai C, Rangdaeng S, Chaiwun B (1999) Fine-needle aspiration cytology of adrenal myelolipoma: case report and review of the literature. Diagn Cytopathol 21(6):409–412

    Article  CAS  PubMed  Google Scholar 

  14. Lam KY, Lo CY (2001) Adrenal lipomatous tumours: a 30 year clinicopathological experience at a single institution. J Clin Pathol 54(9):707–712

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Carroll BA (1991) Ultrasound case of the day. Myelolipoma of the right adrenal gland. Radiographics 11(5):927–928

    Article  CAS  PubMed  Google Scholar 

  16. Craig WD, Fanburg-Smith JC, Henry LR, Guerrero R, Barton JH (2009) Fat-containing lesions of the retroperitoneum: radiologic–pathologic correlation. Radiographics 29(1):261–290

    Article  PubMed  Google Scholar 

  17. Nguyen BD (2007) Retroperitoneal extra-adrenal myelolipoma: Technetium-99 m sulfur colloid scintigraphy and CT imaging. Clin Nucl Med 32(2):135–138

    Article  PubMed  Google Scholar 

  18. Han M, Burnett AL, Fishman EK, Marshall FF (1997) The natural history and treatment of adrenal myelolipoma. J Urol 157(4):1213–1216

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors sincerely thank Aaron Udager M.D. from the Department of Pathology at University of Michigan Health System for providing the histological images and legends for case 1.

Author information

Authors and Affiliations

  1. Division of Abdominal Imaging, Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA

    Malak Itani, Ashish P. Wasnik & Joel F. Platt

Authors
  1. Malak Itani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ashish P. Wasnik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joel F. Platt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ashish P. Wasnik.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Itani, M., Wasnik, A.P. & Platt, J.F. Radiologic–pathologic correlation in extra-adrenal myelolipoma. Abdom Imaging 39, 394–397 (2014). https://doi.org/10.1007/s00261-013-0062-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-013-0062-0

Keywords

Search

Navigation