Adrenal Myelolipoma Confirmed by Fine Aspiration Biopsy.

Jung, Young Sik; Whang, Jun Ho; Yang, Jeon Ho; Shin, Hyeon Soo; Kim, Ih Geun; Ahn, Ki Sung; Chang, Sung Gug; Lee, Sang Chae; Bae, Jung Dong; Shon, Ho Sang; Park, Mi Ok; Park, Jae Bok; Lee, Yeong Hwan

Original Article

Journal of Korean Endocrine Society 1997;12(1):105-110.
Published online January 1, 2001.

Adrenal Myelolipoma Confirmed by Fine Aspiration Biopsy.

Young Sik Jung, Jun Ho Whang, Jeon Ho Yang, Hyeon Soo Shin, Ih Geun Kim, Ki Sung Ahn, Sung Gug Chang, Sang Chae Lee, Jung Dong Bae, Ho Sang Shon, Mi Ok Park, Jae Bok Park, Yeong Hwan Lee

Abstract

Adrenal myelolipomas are rare, benign tumors cornposed of mature fat and bone marrow elements. Most are small, asymptomatic tumors found incidentally at postmortem examination, Fine needle aspiration biopsy can be used to confirm the diagnosis and avoid an unnecessary operation. We report a case of adrenal myelolipoma confirmed by fine needle aspiration biopsy. A 77-year-old woman with complaining of upper abdominal pain for 2 days was found to have an adrenal mass. She took dexamethasone frequently for 3 years due to multiple arthralgia. Ultrasono-graphy showed a 6cm-sized, suprarenal mass and a stone in the gall bladder with thickened wall. Computed tomography and magnetic resonance imaging scan also presented a suprarenal mass. Endocrinologic results were within normal limits. Adrenal myelolipoma was confirmed by computed tomography-guided fine needle aspiration biopsy without surgery.

Key Words: Adrenal myelolipoma, Fine needle aspiration biopsy, Dexamethasone