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Adrenal Myelolipoma
Mitchell Tublin, MD; Michael P. Federle, MD, FACR
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17
2
5

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        TERMINOLOGY

        • Definitions

          • Uncommon benign tumor composed of mature adipose tissue and hematopoietic elements

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Yin L et al: A 10-year single-center experience with surgical management of adrenal myelolipoma. J Endourol. 28(2):252-5, 2014
                                          2. Schieda N et al: Pitfalls of adrenal imaging with chemical shift MRI. Clin Radiol. ePub, 2014
                                          3. Katabathina VS et al: Adrenal collision tumors and their mimics: multimodality imaging findings. Cancer Imaging. 13(4):602-10, 2013
                                          4. Castinetti F et al: Adrenal myelolipoma: an unusual cause of bilateral highly 18F-FDG-avid adrenal masses. J Clin Endocrinol Metab. 97(8):2577-8, 2012
                                          5. Giacinto J et al: Nonoperative management of adrenal myelolipoma hemorrhage resulting from trauma. Am Surg. 78(11):E463-4, 2012
                                          6. Su HC et al: Adrenal myelolipoma associated with hyperandrogenemia. Int J Urol. 19(11):1026-8, 2012
                                          7. German-Mena E et al: Adrenal myelolipomas in patients with congenital adrenal hyperplasia: review of the literature and a case report. Endocr Pract. Epub ahead of print, 2011
                                          8. Ctvrtlík F et al: Differential diagnosis of incidentally detected adrenal masses revealed on routine abdominal CT. Eur J Radiol. 69(2):243-52, 2009
                                          9. Guo YK et al: Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol. 62(3):359-70, 2007
                                          10. Daneshmand S et al: Adrenal myelolipoma: diagnosis and management. Urol J. 3(2):71-4, 2006
                                          11. Pereira JM et al: CT and MR imaging of extrahepatic fatty masses of the abdomen and pelvis: techniques, diagnosis, differential diagnosis, and pitfalls. Radiographics. 25(1):69-85, 2005
                                          12. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                          13. Mayo-Smith WW et al: State-of-the-art adrenal imaging. Radiographics. 21(4):995-1012, 2001
                                          14. Kenney PJ et al: Myelolipoma: CT and pathologic features. Radiology. 208(1):87-95, 1998
                                          15. Rao P et al: Imaging and pathologic features of myelolipoma. Radiographics. 17(6):1373-85, 1997
                                          16. Cyran KM et al: Adrenal myelolipoma. AJR Am J Roentgenol. 166(2):395-400, 1996
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                TERMINOLOGY

                                                • Definitions

                                                  • Uncommon benign tumor composed of mature adipose tissue and hematopoietic elements

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Angiographic Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Yin L et al: A 10-year single-center experience with surgical management of adrenal myelolipoma. J Endourol. 28(2):252-5, 2014
                                                                                  2. Schieda N et al: Pitfalls of adrenal imaging with chemical shift MRI. Clin Radiol. ePub, 2014
                                                                                  3. Katabathina VS et al: Adrenal collision tumors and their mimics: multimodality imaging findings. Cancer Imaging. 13(4):602-10, 2013
                                                                                  4. Castinetti F et al: Adrenal myelolipoma: an unusual cause of bilateral highly 18F-FDG-avid adrenal masses. J Clin Endocrinol Metab. 97(8):2577-8, 2012
                                                                                  5. Giacinto J et al: Nonoperative management of adrenal myelolipoma hemorrhage resulting from trauma. Am Surg. 78(11):E463-4, 2012
                                                                                  6. Su HC et al: Adrenal myelolipoma associated with hyperandrogenemia. Int J Urol. 19(11):1026-8, 2012
                                                                                  7. German-Mena E et al: Adrenal myelolipomas in patients with congenital adrenal hyperplasia: review of the literature and a case report. Endocr Pract. Epub ahead of print, 2011
                                                                                  8. Ctvrtlík F et al: Differential diagnosis of incidentally detected adrenal masses revealed on routine abdominal CT. Eur J Radiol. 69(2):243-52, 2009
                                                                                  9. Guo YK et al: Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol. 62(3):359-70, 2007
                                                                                  10. Daneshmand S et al: Adrenal myelolipoma: diagnosis and management. Urol J. 3(2):71-4, 2006
                                                                                  11. Pereira JM et al: CT and MR imaging of extrahepatic fatty masses of the abdomen and pelvis: techniques, diagnosis, differential diagnosis, and pitfalls. Radiographics. 25(1):69-85, 2005
                                                                                  12. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                                                                  13. Mayo-Smith WW et al: State-of-the-art adrenal imaging. Radiographics. 21(4):995-1012, 2001
                                                                                  14. Kenney PJ et al: Myelolipoma: CT and pathologic features. Radiology. 208(1):87-95, 1998
                                                                                  15. Rao P et al: Imaging and pathologic features of myelolipoma. Radiographics. 17(6):1373-85, 1997
                                                                                  16. Cyran KM et al: Adrenal myelolipoma. AJR Am J Roentgenol. 166(2):395-400, 1996