Laparoscopic Nephrectomy with Adrenalectomy for Synchronous Adrenal Myelolipoma and Renal Cell Carcinoma

Abstract

Introduction. Adrenal myelolipomas are uncommon nonfunctioning tumors of the adrenal. Synchronous renal cell carcinomas with adrenal myelolipomas are very rare. We present the case report of adrenal myelolipoma with synchronous RCC managed laparoscopically. Case Report. A 60-year-old old gentleman presented with incidental right upper polar mass with right adrenal mass. Metastatic work-up was negative. Laparoscopic radical nephrectomy with adrenalectomy was done under general anesthesia. The biopsy report was right kidney clear cell adenocarcinoma (T1b) with right adrenal myelolipoma. Conclusion. This is the first case report of laparoscopic adrenalectomy with nephrectomy for ipsilateral synchronous renal cell carcinoma with adrenal myelolipoma.

Concurrent laparoscopic management of giant adrenal myelolipoma and contralateral renal cell carcinoma

“…Myelolipomas constitute nearly 3% of all primary adrenal tumors [ 2 ]. The patients are usually asymptomatic and the lesions are diagnosed incidentally.…”

“…Senthil et al. [ 2 ] described the first case of a concurrent laparoscopic excision of a left sided renal cell carcinoma with a 4 cm ipsilateral adrenal myelolipoma managed. Our case is peculiar as this is the first case in which contralateral carcinoma of kidney and giant adrenal myelolipoma were present which could be concurrently excised laparoscopically.…”