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Giant lipoma of the adrenal gland: a case report

机译：肾上腺巨脂瘤：一例报告

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Introduction Lipoma of the adrenal gland is rare with a reported incidence of between 2% to 4%. Improved imaging techniques have helped in the diagnosis of these lesions. Case presentation We report an incidentally detected giant adrenal lipoma in a 43-year-old Asian man with a six year history of hypertension. He had a myocardial infarction one year earlier, for which he was taking an antiplatelet agent in addition to antihypertensive medication. The tumor was detected by computed tomography and magnetic resonance imaging, and was a large, well-defined, altered signal intensity lesion 12 cm in size in the right suprarenal region. The tumor was resected laparoscopically and sent for histopathologic evaluation. It measured 15 cm × 11.5 cm × 6.5 cm on gross examination, weighed 810 g and had a homogenous yellow cut surface. The postoperative course was smooth. Microscopy revealed mature adipose tissue with myxoid degeneration. Over the course of a four month follow-up the patient recovered. Conclusion Giant lipoma of the adrenal gland, a benign tumor, is rare compared with myelolipoma. Improved radiologic modalities have led to increased reporting of these benign tumors. Laparoscopic removal of the tumor has helped in early recovery and in reinstating patients to normal lives.
机译：简介肾上腺脂肪瘤很少见，据报道发病率在2％至4％之间。改进的成像技术已帮助诊断这些病变。病例报告我们报告了一名偶然发现的巨大肾上腺脂肪瘤，该患者是一名43岁的亚洲人，患有高血压已有6年。他一年前患有心肌梗塞，为此他除了服用降压药外还服用了抗血小板药。通过计算机断层扫描和磁共振成像检测到该肿瘤，在右肾上区域为大小为12 cm的大的，清晰的改变的信号强度病变。腹腔镜切除肿瘤并送去进行组织病理学评估。在粗略检查中其尺寸为15厘米×11.5厘米×6.5厘米，重810 g，具有均匀的黄色切面。术后过程顺利。显微镜检查显示成熟的脂肪组织具有粘液样变性。在四个月的随访过程中，患者康复了。结论肾上腺巨大脂肪瘤是一种良性肿瘤，比骨髓脂肪瘤少见。改善的放射学方式导致这些良性肿瘤的报告增多。腹腔镜切除肿瘤有助于早期康复和使患者恢复正常生活。

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