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40: 127-130, 1994 11) Damjanov I, Moriber K, Catalano E, et al: Myelolipoma in a heterotopic adrenal gland. Light and electron microscopic findings. Can cer 44: 1350-1356, 1979 12) DeNavasquez S: Case of myelolipoma (bone marrow heterotopia) Hosp Rep 85: 237-240, 1935 of suprarenal grand. Guy's 13) Selye H, Stone H: Hormonally induced Trans formation of adrenal into myeloid tissue. Am J Pathol 26: 211-233, 1950 14) Chang KC, Chen PI, Huang ZH, et al: Adrenal myelolipoma with translocation (3; 21) (q25; p11). Cancer Genet Cytogenet 134: 77-80, 2002 cyst, and diabetes mellitus. Diabetes Care 14: 932-933, 1991 20) Yoshioka M, Fujimori K, Wasugi M, et al: Cushing's disease associated with adrenal myelolipoma, adrenal calcification cancer. Endocr J 41: 461-466, 1994 and thyroid 21) Meaglia JP, Schmidt JD: Natural history of an adrenal myelolipoma. J Urol 147: 1089-1090, 1992 18) Boronat M, Moreno A, Ramony Cajal S, et al: Subclinical Cushing's syndrome due to adrenal myelolipoma. Arch Pathol Lab Med 121: 735-737, 1997 19) Zarabi M: Adrenal myelolipoma. Rathoke's A CASE OF GIANT ADRENAL MYELOLIPOMA Hiroshi TAKAHASHI, Tetsuya YAMAGUCHI, Ryoji TAKEDA, Shingo SAKATA and Michihiro YAMAMOTO Department of Surgery, Rakuwakai Otowa Hospital A 48-year-old man was admitted to the hospital for operation with a diagnosis of a giant tumor at the right frank. He had noticed that his pants became tight and ill-fitting since about May 2004. He visited another hospital about the middle of August because of fever, abdominal pain and watery diarrhea, and was pointed out having the tumor. After admission to the hospital, ultrasonography showed a high-echoic huge mass, 20cm in diameter, upward the right kidney in the retroperitoneal space. The tumor had mainly low density on CT scan, high signal on MRI T2 imagings, and was revealed as an avascular area at angiography. The operation was done with a diagnosis of right adrenal myelolipoma. The resected mass was 20 ~18 ~16cm in dimension and 2,400g in weight, and pathologically was composed with fat cells and bone marrow elements with megakaryocyte. Adrenal components were also detected. No malignant findings were seen. The tumor was diagnosed as right adrenal myelolipoma.