Back to Homepage

Case 400

Surgical Pathology Case

 

CLINICAL INFORMATION

  A 44 years old female was incidentally found to have a large abdominal mass during a clinical image study for other indication. The mass appeared superior to the left kidney. The mass was resected.

GROSS DESCRIPTION

 

The specimen consists of a well encapsulated mass measuring 18 17 14 cm. The left adrenal gland is noted on one side that is incorporated with the mass. The cut surface of the mass reveals a mixture of pale-yellow soft tissue and red and dark red hemorrhage and necrosis.

     
 

MICROSCOPIC DESCRIPTION

  Microscopically, multiple sections of the lesion from different areas reveal mature adipose tissue and trilineage myeloid cells at various development stage.

DIAGNOSIS

 

Adrenal myelolipoma

 
   
 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan