|
|
|
| Concurrent laparoscopic management of giant adrenal myelolipoma and contralateral renal cell carcinoma |
Tarun Jindal( ),Pravin Pawar,Neeraj Subedi
|
| Department of Uro-oncology, Tata Medical Centre, Kolkata, India |
|
|
|
|
Abstract Myelolipomas are uncommon, benign tumors of the adrenal gland that can occasionally attain a large size. These tumors, very rarely, can occur along with renal cell carcinoma [1]. We describe the first case of a giant right sided adrenal myelolipoma co-existent with a contralateral renal cell carcinoma, both of which could be operated laparoscopically in the same sitting.
|
|
Received: 08 April 2020
Available online: 20 January 2022
|
|
Corresponding Authors:
Tarun Jindal
E-mail: drtarunjindal@gmail.com
|
|
|
|
|
Contrast enhanced computed tomography scan images of patient demonstrating the left heterogeneously enhancing renal cell carcinoma (broken arrow) and the fat containing right adrenal myelolipoma (bold arrow). (A) The cross sectional image; (B) The coronal image.
|
|
|
The surgical images of the right adrenal and the left kidney. (A) Intraoperative picture showing the hilum of the left kidney with clips on renal artery and vein; (B) The left adrenal (bold arrow) being separated from the upper pole cortex (broken arrow) of the kidney; (C) The right adrenal myelolipoma; (D) The right adrenal vein clipped; (E) The specimens of right adrenal myelolipoma; (F) The left kidney (without the adrenal).
|
| [1] |
Bahrami A, Truong LD, Shen SS, Krishnan B. Synchronous renal and adrenal masses: An analysis of 80 cases. Ann Diagn Pathol 2009; 13:9e15.
|
| [2] |
Senthil K, Ramalingam M, Janardhan K, Murugesan A, Pai MG. Laparoscopic nephrectomy with adrenalectomy for synchronous adrenal myelolipoma and renal cell carcinoma. Case Rep Urol 2015;2015:635072. https://doi.org/10.1155/2015/635072.
|
| [3] |
Zografos GN, Farfaras A, Vasiliadis G, Pappa T, Aggeli C, Vassilatou E, et al. Laparoscopic resection of large adrenal tumors. JSLS 2010; 14:364e8.
|
| [4] |
Hofmockel G, Dammrich J, Manzanilla Garcia H, Frohmuller H. Myelolipoma of the adrenal gland associated with contralateral renal cell carcinoma: Case report and review of the literature. J Urol 1995; 153:129e32.
|
| No related articles found! |
|
|
|
|
