Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review

Bilateral adrenal myelolipoma is rare in clinics and patients with disorders of sex development (DSDs). One case was reported in our center. A 45-year-old patient was admitted to the hospital after discovering a left abdominal mass for more than a year and worsening abdominal pain for 18 days. An im...

Full description

Bibliographic Details
Main Authors: Chenghao Zhanghuang, Na Long, Zhen Yang, Yucheng Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1210679/full
_version_ 1797738184923152384
author Chenghao Zhanghuang
Chenghao Zhanghuang
Na Long
Zhen Yang
Yucheng Xie
Yucheng Xie
author_facet Chenghao Zhanghuang
Chenghao Zhanghuang
Na Long
Zhen Yang
Yucheng Xie
Yucheng Xie
author_sort Chenghao Zhanghuang
collection DOAJ
description Bilateral adrenal myelolipoma is rare in clinics and patients with disorders of sex development (DSDs). One case was reported in our center. A 45-year-old patient was admitted to the hospital after discovering a left abdominal mass for more than a year and worsening abdominal pain for 18 days. An imaging examination showed bilateral adrenal masses. Physical examination showed clitoris hypertrophy with patelliform changes, thick and dense pubic hair, normal development of bilateral labia majora without labia minora, and urethral opening. After the relevant preoperative examinations, bilateral adrenal mass resection was performed under general anesthesia. The postoperative pathology confirmed adrenal myelolipoma. The incision healed well without recurrence over 10 years after the operation. Her enlarged clitoris decreased in size. This case report has a detailed diagnosis and treatment process and sufficient examination results. It can provide a reference for diagnosing and treating patients with bilateral adrenal myelolipoma and DSD and reduce the risk of misdiagnosis and mistreatment.
first_indexed 2024-03-12T13:39:22Z
format Article
id doaj.art-67d653c8a34340058e0fd09c8c554937
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-03-12T13:39:22Z
publishDate 2023-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-67d653c8a34340058e0fd09c8c5549372023-08-23T23:30:05ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-08-011310.3389/fonc.2023.12106791210679Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature reviewChenghao Zhanghuang0Chenghao Zhanghuang1Na Long2Zhen Yang3Yucheng Xie4Yucheng Xie5Department of Urology, Kunming Children’s Hospital, Yunnan Province Clinical Research Center for Children’s Health and Disease, Kunming, ChinaYunnan Key Laboratory of Children’s Major Disease Research, Yunnan Clinical Medical Center for Pediatric Diseases, Kunming Children’s Hospital, Kunming, ChinaSpecial Ward, Kunming Children’s Hospital, Yunnan Province Clinical Research Center for Children’s Health and Disease, Kunming, ChinaDepartment of Oncology, Yunnan Children Solid Tumor Treatment Center, Kunming Children’s Hospital, Kunming, ChinaDepartment of Pathology, Kunming Children’s Hospital, Kunming, ChinaDepartment of Pathology, The Second People’s Hospital of Yunnan Province, Kunming, ChinaBilateral adrenal myelolipoma is rare in clinics and patients with disorders of sex development (DSDs). One case was reported in our center. A 45-year-old patient was admitted to the hospital after discovering a left abdominal mass for more than a year and worsening abdominal pain for 18 days. An imaging examination showed bilateral adrenal masses. Physical examination showed clitoris hypertrophy with patelliform changes, thick and dense pubic hair, normal development of bilateral labia majora without labia minora, and urethral opening. After the relevant preoperative examinations, bilateral adrenal mass resection was performed under general anesthesia. The postoperative pathology confirmed adrenal myelolipoma. The incision healed well without recurrence over 10 years after the operation. Her enlarged clitoris decreased in size. This case report has a detailed diagnosis and treatment process and sufficient examination results. It can provide a reference for diagnosing and treating patients with bilateral adrenal myelolipoma and DSD and reduce the risk of misdiagnosis and mistreatment.https://www.frontiersin.org/articles/10.3389/fonc.2023.1210679/fulladrenal myelolipomaadrenal glanddisorders of sex development (DSD)diagnosispathology
spellingShingle Chenghao Zhanghuang
Chenghao Zhanghuang
Na Long
Zhen Yang
Yucheng Xie
Yucheng Xie
Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
Frontiers in Oncology
adrenal myelolipoma
adrenal gland
disorders of sex development (DSD)
diagnosis
pathology
title Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
title_full Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
title_fullStr Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
title_full_unstemmed Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
title_short Bilateral adrenal giant medullary lipoma combined with disorders of sex development: a rare case report and literature review
title_sort bilateral adrenal giant medullary lipoma combined with disorders of sex development a rare case report and literature review
topic adrenal myelolipoma
adrenal gland
disorders of sex development (DSD)
diagnosis
pathology
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1210679/full
work_keys_str_mv AT chenghaozhanghuang bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview
AT chenghaozhanghuang bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview
AT nalong bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview
AT zhenyang bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview
AT yuchengxie bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview
AT yuchengxie bilateraladrenalgiantmedullarylipomacombinedwithdisordersofsexdevelopmentararecasereportandliteraturereview