ABSTRACT
OBJECTIVE: To report a case of adrenal myelolipoma in a female patient with a history of arterial hypertension and increased plasma aldosterone levels. METHODS: Evaluation by CT and ultrasound, and anatomopathological analysis were performed. RESULTS: The CT and ultrasound scans showed a fat-containing adrenal mass. The patient underwent surgery. Histological analysis of the surgical specimen demonstrated a myelolipoma, a benign tumor composed in varying proportions of adipose and hematopoietic tissue. CONCLUSIONS: A diagnosis of adrenal myelolipoma must be considered when a fat-containing adrenal mass is demonstrated by ultrasound, CT or MRI.
Subject(s)
Adrenal Gland Neoplasms/diagnostic imaging , Myelolipoma/diagnostic imaging , Adrenal Gland Neoplasms/pathology , Female , Humans , Middle Aged , Myelolipoma/pathology , RadiographyABSTRACT
OBJECTIVE: Two cases of cystic neuroblastoma diagnosed by ultrasonography and CT are presented. METHODS/RESULTS: Case 1 was diagnosed by prenatal ultrasonography; case 2 was a palpable abdominal mass that was incidentally detected in a 15-day-old neonate. Both cases showed no analytical abnormalities. The histological analysis demonstrated a localized cystic neuroblastoma. CONCLUSIONS: Cystic neuroblastoma as an atypical form of neuroblastoma in neonates localized in the adrenal gland. It is usually an incidental finding, diagnosed by prenatal ultrasonography or as a palpable abdominal mass. This neoplasm is characterized by its cystic appearance, with no calcification inside and distant metastasis is rare. Prognosis is excellent if diagnosed and treated early. Ultrasonography is the method of choice for the diagnosis of an abdominal mass in neonates.
