Perirenal extra-adrenal myelolipoma.

World J Clin Cases

Ali Hajiran, Chad Morley, Robert Jansen, Stanley Kandzari, Patrick Bacaj, Stanley Zaslau, Jon Cardinal, Division of Urology, West Virginia University, Morgantown, WV 26505, United States.

Published: July 2014

Myelolipomas are rare tumors consisting of both adipose and hematopoietic tissue and are typically found within the adrenal gland. Extra-adrenal involvement is rare, especially those tumors involving the perirenal space and collecting system. We report a case of a patient with an incidentally discovered perirenal mass that was initially concerning for a retroperitoneal liposarcoma. Following surgical resection and pathological analysis, the lesion was found to be an extra-adrenal myelolipoma. This case report and review of the literature demonstrates the importance of the proper work-up and management of perirenal lipoma variants while addressing the issues of tissue biopsy, surgical intervention, and pre- and post-operative surveillance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4097155PMC
http://dx.doi.org/10.12998/wjcc.v2.i7.279DOI Listing

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