Adrenal extramedullary hematopoiesis, an entity to consider in the diagnosis of adrenal mass

• Main Authors: Garazi Elorza-Echaniz (Author), Nerea Borda-Aguirrezabalaga (Author), Ignacio Aguirre-Allende (Author), Ainhoa Andres-Imaz (Author), Elisabet Bollo-Arocena (Author), Jose Maria Enriquez-Navascues (Author)
• Format: Book
• Published: Journal of Surgery and Surgical Research - Peertechz Publications, 2020-05-07.
• Subjects: Case Report
• Online Access: Connect to this object online.

Summary

<p>Extramedullary Hematopoiesis (EMH) is frequently seen in the liver, spleen or lymph nodes in patients with hematologic disorders such as beta-thallasemia or hereditary spherocytosis. We report the first case of adrenal hematopoiesis in a patient with Chronic Myelomonocytic Leukemia.</p><p>The patient was a 63 year-old man who was in the study of a thrombocytopenia. A CT and MRI demonstrated a unilateral adrenal mass with multiple splenic lesions.</p><p>The patient underwent right adrenalectomy and splenectomy. Microscopic examination showed extramedullary hematopoiesis in the adrenal gland and spleen.</p><p>The diagnosis of extramedullary hematopoiesis must be considered in any patient with hematologic disorders and thoracic or abdominal mass. An unnecessary procedure could be avoided.</p><p>Palabras clave: Extramedullary hematopoiesis; adrenal mass; adrenal incidentaloma; Chronic Myelomonocytic Leukemia.</p>

DOI

10.17352/2455-2968.000092