Journal of Zhejiang University SCIENCE B

, Volume 9, Issue 6, pp 500–505 | Cite as

Adrenal myelolipoma within myxoid cortical adenoma associated with Conn’s syndrome

  • Lu Hong-sheng
  • Gan Mei-fu
  • Chen Han-song
  • Huang Shan-qiang
Case Report


The coexistence of myelolipoma within adrenal cortical adenoma is extremely rare, for both tumors present usually as separate entities. There are only 16 such cases reported worldwide. To the best of our knowledge, the case we reported here is the first one of myxoid adrenal cortical adenoma associated with myelolipoma reported. A 32-year-old Chinese woman with 4-year history of hypertension was presented in our study. Computed tomography (CT) of the abdomen showed a large heterogeneously-enhancing mass (4.5 cm in diameter) in the left suprarenal region. Clinical history and laboratory results suggest a metabolic disorder as Conn’s syndrome. The patient underwent a left adrenalectomy, and a histopathological study confirmed the mass to be a myxoid adrenal cortical adenoma containing myelolipoma. The patient was postoperatively well and discharged uneventfully. In the present case report, we also discuss the etiology of simultaneous myelolipoma and adrenal adenoma associated with Conn’s syndrome, and the methods of the diagnosis and differential diagnosis.

Key words

Adrenal gland Myxoid adrenal cortical adenoma Myelolipoma Conn’s syndrome Pathology Immunohistochemistry 

CLC number



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Copyright information

© Zhejiang University and Springer-Verlag GmbH 2008

Authors and Affiliations

  • Lu Hong-sheng
    • 1
  • Gan Mei-fu
    • 1
  • Chen Han-song
    • 1
  • Huang Shan-qiang
    • 1
  1. 1.Department of PathologyTaizhou HospitalLinhaiChina

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