Clinical and pathological features of adrenal myelolipoma and myelolipomatous metaplasia cases in our hospital over 13 years

dc.authorid0000-0003-3540-6492
dc.contributor.authorŞensu, Sibel
dc.contributor.authorEge Gül, Aylin
dc.contributor.authorHallaç Keser, Sevinç
dc.contributor.authorGürbüz, Yeşim Saliha
dc.contributor.authorAltıntaş, Mehmet
dc.contributor.authorBarışık, Cem Cahit
dc.contributor.authorÖzdemir Barışık, Nagehan
dc.contributor.authorErdoğan, Nusret
dc.date.accessioned2023-04-04T09:36:13Z
dc.date.available2023-04-04T09:36:13Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractBACKGROUND/AIMS: The development and widespread use of abdominal imaging techniques has increased the incidence of unexpected adrenal tumors called adrenal incidentaloma. Adrenal myelolipomas are the second most common incidentalomas. Similar myelolipomatous morphology appears as a secondary degenerative change in other adrenal lesions and is called myelolipomatous metaplasia. This study investigated the adrenal entities of the last 13 years which had myelolipomatous components.MATERIALS AND METHODS: In this retrospective observational study, cases diagnosed as adrenal myelolipoma or myelolipomatous metaplasia between January, 2009 and January, 2022 were re-examined regarding their age, gender, localization, lesion size, and secondary histopathological changes, accompanying pathological diagnoses as well as clinical and radiological data.RESULTS: Eleven adrenal myelolipoma cases and 6 myelolipomatous metaplasia cases were detected. In myelolipomas, the mean age was 55.45 years, 73% were female and 82% were located on the right side. The lesions were encapsulated and their mean size was 7 cm. One case had a diagnosis of subclinical Cushing's syndrome and the others were hormonally inactive. Some cases were accompanied with hypertension (27%), type 2 diabetes (18%), and asthma (18%). All myelolipomatous metaplasias, which are non-encapsulated, were detected in adrenocortical adenomas. The mean age was 58 years; nonencapsulated and 67% were located on the right side with no gender predilection. Concomitant hypertension (50%), diabetes /33%, and asthma (33%) were frequent.CONCLUSION: Adrenal myelolipoma and myelolipomatous metaplasia both contain adipose and myeloid components. Myelolipoma is a benign and encapsulated neoplasia which is usually detected incidentally. They frequently coexist with chronic diseases such as hypertension, diabetes and asthma.
dc.identifier.citationŞensu, S., Ege Gül, A., Hallaç Keser, S., Gürbüz, Y. S., Altıntaş, M., Barışık, C. C. ... Erdoğan, N. (2023). Clinical and pathological features of adrenal myelolipoma and myelolipomatous metaplasia cases in our hospital over 13 years. Cyprus Journal of Medical Sciences, 8(1), 60-65. https://dx.doi.org/10.4274/cjms.2022.2022-13
dc.identifier.doi10.4274/cjms.2022.2022-13
dc.identifier.endpage65
dc.identifier.issn2149-7893
dc.identifier.issn2536-507X
dc.identifier.issue1
dc.identifier.startpage60
dc.identifier.urihttps://dx.doi.org/10.4274/cjms.2022.2022-13
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10797
dc.identifier.volume8
dc.identifier.wos000946014500010en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.institutionauthorBarışık, Cem Cahit
dc.language.isoen
dc.publisherGalenos Publishing House
dc.relation.ispartofCyprus Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAdrenal
dc.subjectMyelolipoma
dc.subjectMyelolipomatous Metaplasia
dc.titleClinical and pathological features of adrenal myelolipoma and myelolipomatous metaplasia cases in our hospital over 13 years
dc.typeArticle

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