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Adrenal incidentaloma does it require surgical treatment? Case report and review of literature.
[adrenal incidentaloma]
Adrenal
incidentalomas
have
a
prevalence
of
at
least
5
%
in
the
general
population
.
Among
these
adrenal
myelolipoma
are
rare
nonfunctioning
tumors
of
adrenal
with
an
incidence
of
0
.
1
-
0
.
2
%
as
documented
in
CT
and
autopsy
series
.
We
report
such
a
rare
case
of
adrenal
myelolipoma
incidentally
detected
while
evaluating
a
case
of
chronic
nonspecific
flank
pain
.
38
-
year
-old
obese
female
patient
,
known
hypertensive
on
treatment
presented
with
nonspecific
right
flank
pain
since
1
year
.
Ultrasonography
and
Computed
tomography
of
the
abdomen
showed
right
adrenal
gland
mass
with
fat
density
measuring
6
.
3
cm
×
6
.
2
cm
×
5
cm
.
Patient
underwent
right
side
adrenalectomy
,
post
operatively
patient
had
an
uneventful
recovery
.
Histopathological
examination
of
the
specimen
revealed
features
of
adrenal
myelolipoma
.
Myelolipoma
is
an
uncommon
,
benign
;
tumor
like
lesion
composed
of
mature
adipose
tissue
admixed
with
hematopoietic
cells
.
Most
myelolipomas
appear
as
unilateral
adrenal
masses
.
Adrenal
myelolipomas
are
usually
small
and
asymptomatic
.
CT
or
MRI
detects
the
areas
of
gross
fat
with
in
the
lesion
.
These
tumors
can
present
as
acute
abdomen
following
tumor
hemorrhage
which
is
more
likely
in
myelolipomas
greater
than
4
cm
in
size
,
hence
warrants
adrenalectomy
.
adrenal
myelolipoma
are
rare
benign
tumors
,
incidentally
detected
on
CT
.
CT
or
MRI
is
diagnostic
.
Large
myelolipoma
warrants
surgery
due
to
the
risk
of
hemorrhage
.
Diseases
Validation
Diseases presenting
"female patient"
symptom
achondroplasia
adrenal incidentaloma
alexander disease
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
coats disease
cohen syndrome
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentinogenesis imperfecta
epidermolysis bullosa simplex
esophageal squamous cell carcinoma
fabry disease
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
kallmann syndrome
kindler syndrome
krabbe disease
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
x-linked adrenoleukodystrophy
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