Department of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco
Case Report
Extramedullary Hematopoiesis: Uncommon Case of Giant Adrenal Incidentaloma Mimicking Tumor Mass
Author(s): ELaouni Soukaina*, Jebli Salma, Sassi Samia, Jahid Ahmed, Zouidia Fouad, Elkhanoussi Basma, Bernoussi Zakia and Znati Kaoutar
Extramedullary Hematopoiesis (EMH) is a compensatory phenomenon to insufficient bone marrow function to maintain the circulatory demands. EMH occurs
most commonly in the reticuloendothelial system such as spleen, Liver and lymph nodes, or in para osseous sites. EMH in the adrenal is rare with fewer than 10
cases reported, presenting as a giant adrenal mass are extremely rare. We report 38-year-old women with history of β-thalassemia since childhood. Computed
Tomography (CT) was revealed a giant right adrenal mass with heterogeneous density mimicking a tumor mass with moderate splenomegaly associated, after
excluding hormonal secretion. Ultrasound-guided biopsy was performed and reported fibrocollagenous tissue displaying trilineage haematopoiesis in favor of
adrenal EMH, thus malignancy is eliminated. As a giant mass, treatment was an excision surgery associat.. Read More»
DOI:
10.37421/2165-7920.2021.11.1477
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