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英文誌(2004-)

Journal of Medical Ultrasonics

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1988 - Vol.15

Vol.15 No.01

Case Report(症例報告)

(0083 - 0088)

超音波検査が有用であった副腎骨髄脂肪腫の1切除例

A Case with Resected Adrenal Myelolipoma Diagnosed by Ultrasonography

道免 和文1, 鍵山 裕2, 高木 宏治1, 福間 道雄2, 後藤 郁郎2, 中村 照2, 岡部 正之2, 石橋 大海1

Kazufumi DOHMEN1, Yutaka KAGIYAMA2, Koji TAKAKI1, Michio FUKUMA2, Ikuo GOTOH2, Teru NAKAMURA2, Masayuki OKABE2, Hiromi ISHIBASHI1

1九州大学医学部第一内科, 2筑豊労災病院内科・外科

1The First Department of Internal Medicine, Faculty of Medicine, Kyushu University, 2Department of Internal Medicine and Surgery, Chikuhoh Rohsai Hospital

キーワード : Adrenal tumor, Myelolipoma

A sixty-four-year-old Japanese female with right adrenal myelolipoma was treated in our clinic. There were no specific subjective complaints. Routine laboratory data of this patient and endocrinological examination revealed no abnormality. During the routine ultrasonography tests, a round shaped tumor of approximately 60 mm in diameter was evidenced in the right adrenal area. The tumor showed three characteristics; 1) it was well-demarcated, 2) hyperechoic and 3) heterogeneous. These findings are in accord with the gross appearance of the resected tumor. Adrenal myelolipoma is rare with only 14 cases reported in Japan. The majority of cases were diagnosed by drip infusion pyelography, the initial symptoms being hematuria and abdominal pain. Careful observation of the findings on ultrasonography should make feasible a preoperative diagnosis at the early stage of this disease. At present 18 months postoperatively, the patient is doing well.