A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland

Adrenal collision tumors refer to coexistence of two adjacent, but histologically distinct, neoplasms involving the adrenal gland without histologic admixture at the interface. Myelolipoma is a rare but benign neoplasm. As its name implies, displays both mature adipose tissue and hematopoietic eleme...

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Main Authors: Mariangela Gomez, Rohin Mehta
Format: Article
Language:English
Published: SAGE Publishing 2020-05-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X20921074
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author Mariangela Gomez
Rohin Mehta
author_facet Mariangela Gomez
Rohin Mehta
author_sort Mariangela Gomez
collection DOAJ
description Adrenal collision tumors refer to coexistence of two adjacent, but histologically distinct, neoplasms involving the adrenal gland without histologic admixture at the interface. Myelolipoma is a rare but benign neoplasm. As its name implies, displays both mature adipose tissue and hematopoietic elements. These are usually unilateral and asymptomatic. Schwannomas, tumors derived from the peripheral nerve sheath, are also uncommon lesions in the adrenal gland. Here, we present a rare case of a 65-year-old male with clinical history of abdominal aortic aneurysm who was found to have a 13-cm “incidentaloma” by interventional radiologist during his aortic endograft control. Giving the size of the mass, team decided to excise it, and histopathological examination was performed. While most incidentally discovered adrenal tumors are benign, surgical excision is recommended in large lesions to exclude malignancy, avoid hemorrhage, and/or acute adrenal insufficiency. Given the rarity of such entity, its clinical course and prognosis remains unclear.
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spelling doaj.art-94e844a5045d45a5870ee4971ca291242022-12-21T17:31:39ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-05-01810.1177/2050313X20921074A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal glandMariangela GomezRohin MehtaAdrenal collision tumors refer to coexistence of two adjacent, but histologically distinct, neoplasms involving the adrenal gland without histologic admixture at the interface. Myelolipoma is a rare but benign neoplasm. As its name implies, displays both mature adipose tissue and hematopoietic elements. These are usually unilateral and asymptomatic. Schwannomas, tumors derived from the peripheral nerve sheath, are also uncommon lesions in the adrenal gland. Here, we present a rare case of a 65-year-old male with clinical history of abdominal aortic aneurysm who was found to have a 13-cm “incidentaloma” by interventional radiologist during his aortic endograft control. Giving the size of the mass, team decided to excise it, and histopathological examination was performed. While most incidentally discovered adrenal tumors are benign, surgical excision is recommended in large lesions to exclude malignancy, avoid hemorrhage, and/or acute adrenal insufficiency. Given the rarity of such entity, its clinical course and prognosis remains unclear.https://doi.org/10.1177/2050313X20921074
spellingShingle Mariangela Gomez
Rohin Mehta
A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
SAGE Open Medical Case Reports
title A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
title_full A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
title_fullStr A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
title_full_unstemmed A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
title_short A rare case of adrenal collision tumor: Myelolipoma and schwannoma in the adrenal gland
title_sort rare case of adrenal collision tumor myelolipoma and schwannoma in the adrenal gland
url https://doi.org/10.1177/2050313X20921074
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