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October 1968

Myelolipoma of the Adrenal Gland: Report of the Third Case of a Symptomatic Tumor and Review of the Literature

Author Affiliations

From the departments of surgery of Beth Israel Hospital (Dr. Newman) and Harvard Medical School (Dr. Silen), Boston.

Arch Surg. 1968;97(4):637-639. doi:10.1001/archsurg.1968.01340040133026

MYELOLIPOMA is a relatively rare tumor of the adrenal gland. The lesion was first described in 1905 by Gierke,1 and the term "myelolipoma" was coined by Oberling in 1929.2 Since that time, there have been approximately 145 cases recorded in the world literature. Almost all of these tumors have been small, incidental lesions found at necropsy without antecedent symptoms. This communication describes the third recorded case of symptomatic myelolipoma requiring operative intervention.

Report of a Case  The patient (35-50-30), a 41-year-old white male executive, was transferred to the Beth Israel Hospital because of a mass in the left upper quadrant of the abdomen on Feb 22, 1967. On Feb 17, at about 4:30 pm, while flying to Boston from a business trip in North Carolina, he had had the gradual onset of progressive pain beginning in the left upper quadrant and lower left anterior portion of the chest,