Large myelolipoma with reversible hypertension
Peghini, P.; Bannwart, F.; Foglia, E.; Maurer, R.; Metzger, U.
Schweizerische Rundschau für Medizin Praxis 81(8): 226-229
1992
ISSN/ISBN: 1013-2058 PMID: 1539118 Document Number: 401657
Myelolipomas are rare, benign, usually asymptomatic tumors of the adrenals consisting of fatty and hemopoietic tissue. New imaging techniques lead increasingly to incidental findings. Diagnosis of a myelolipoma is confirmed by fine needle aspiration yielding mature adipose tissue together with hematopoietic cells, in particular megakaryocytes. Pathophysiology is unclear, correlations to hormonal disturbances are discussed and increased incidence of hypertension associated with myelolipoma has been reported. We describe a female patient who was found at evaluation of hypertension to have a myelolipoma of more than 1 kg of weight. Liposarcoma was suspected and the tumor excised. After excision blood pressure returned to normal.