Mielolipoma suprarrenal atípico en paciente con hipertensión arterial resistente
- Toledano, María 1
- Encalada-Luna, Karen 1
- Moreno, Solsireé 2
- Ramón-Botella, Enrique 3
- Torres-Do Rego, Ana 1
- Bello-Martínez, Elena 1
- 1 Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, España
- 2 Servicio de Anatomía Patológica, Hospital General Universitario Gregorio Marañón, Madrid, España
- 3 Servicio de Radiodiagnóstico, Hospital General Universitario Gregorio Marañón, Madrid, España
ISSN: 2530-0792
Year of publication: 2022
Issue Title: Spanish Journal of Case Records in Internal Medicine
Volume: 7
Issue: 2
Pages: 12-14
Type: Article
More publications in: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)
Abstract
Adrenal myelolipoma is a slow-growing tumour, composed of fatty tissue and haematopoietic elements, typically non-secretory, although a low percentage is associated with endocrine pathology. We present the case of a 35-year-old man who, during the study of resistant arterial hypertension, was diagnosed with a large adrenal incidentaloma with an image congruent with adrenal myelolipoma, whose analytical determinations were anodyne, suggesting a non-functioning adenoma. After surgical resection, the anatomopathological study of the mass revealed pheochromocytoma cells, which produce catecholamines and are responsible for the patient's high blood pressure resistance.
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