Juping Zhao1, Fukang Sun1, Xiaolong Jing2, Wenlong Zhou1, Xin Huang1, Haofei Wang1, Yu Zhu1, Fei Yuan2, Zhoujun Shen1. 1. Department of Urology, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China; 2. Department of Pathology, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China Juping Zhao and Xin Huang contributed equally to this work.
Abstract
INTRODUCTION: Adrenal lipomatous tumours (ALTs) are rarely encountered in clinical practice and consequently little is known about their clinical features. METHODS: We analyze the clinical features, diagnosis and treatment of ALTs based on cases presenting at a single centre over a 31-year period. We reviewed clinical data from patients with primary adrenal tumours treated at the Ruijin Hospital, Shanghai between January 1980 and December 2010. RESULTS: A total of 73 cases of primary ALTs in 22 men and 51 women (mean age 51.1±14.2 years) were reviewed. The ALTs included 65 myelolipomas (89.0%), 3 lipomas (4.1%), 2 angiomyolipomas (2.7%), 2 teratomas (2.7%), and 1 liposarcoma (1.4%). Of the total 73 patients, 24 of them had tumours in the left adrenal gland, 47 in the right gland and 2 had bilateral tumours. In total, 51 patients underwent open surgery and 22 laparoscopic surgery. CONCLUSION: Myelolipoma is predominant among the various types of lipomatous adrenal gland tumours; it accounts for about 90% of all cases. Surgery is recommended for tumours ≥3.5 cm in diameter, for all cases of symptomatic tumour, and for cases of teratoma or liposarcoma identified by preoperative imaging.
INTRODUCTION:Adrenal lipomatous tumours (ALTs) are rarely encountered in clinical practice and consequently little is known about their clinical features. METHODS: We analyze the clinical features, diagnosis and treatment of ALTs based on cases presenting at a single centre over a 31-year period. We reviewed clinical data from patients with primary adrenal tumours treated at the Ruijin Hospital, Shanghai between January 1980 and December 2010. RESULTS: A total of 73 cases of primary ALTs in 22 men and 51 women (mean age 51.1±14.2 years) were reviewed. The ALTs included 65 myelolipomas (89.0%), 3 lipomas (4.1%), 2 angiomyolipomas (2.7%), 2 teratomas (2.7%), and 1 liposarcoma (1.4%). Of the total 73 patients, 24 of them had tumours in the left adrenal gland, 47 in the right gland and 2 had bilateral tumours. In total, 51 patients underwent open surgery and 22 laparoscopic surgery. CONCLUSION:Myelolipoma is predominant among the various types of lipomatous adrenal gland tumours; it accounts for about 90% of all cases. Surgery is recommended for tumours ≥3.5 cm in diameter, for all cases of symptomatic tumour, and for cases of teratoma or liposarcoma identified by preoperative imaging.
Authors: Elizabeth R Timonera; Maria Emilia Paiva; Jose Manuel Lopes; Catarina Eloy; Theodore van der Kwast; Sylvia L Asa Journal: Arch Pathol Lab Med Date: 2008-02 Impact factor: 5.534
Authors: Abdullah Mahmoud Alkhalifa; Mohammed Yousef Aldossary; Ammar Jamal Abusultan; Abdullah Saleh AlQattan; Mohammed Alsomali; Fatimah Alquraish; Njoud Alkhaldi; Jamal Y Alsaeed; Abdulaziz M Alwosaibei; Mohammed Alqambar; Osama Habib Alsaif Journal: Int J Surg Case Rep Date: 2020-01-26