Adrenal Myelolipoma: 369 Cases From a High-Volume Center

Background: Adrenal myelolipoma (AML) is a nonfunctional benign neoplasm from the adrenal cortex, composed of mature fat and hematopoietic tissue. Usually, patients have no symptoms. However, some with hypertension blood pressure normalize after AML surgery, indicating connections between hypertension. Materials Methods: This was retrospective cohort study 369 diagnosed September 2008 to December 2018 collected in Urology Department West China Hospital, Chengdu, Sichuan, China. We clinical records before surgery. Postoperative follow-up also carried out for those whether needed take antihypertensive drugs postoperative were recorded. aim explore characteristics both having remission 1 year Results: There included study, 156 men 213 women, aged 49.86 ± 11.61 years old. Among them, 121 (32.8%) presented Body mass index significantly higher group than that nonhypertension group, even adjusting other variables (26.26 3.43 vs. 24.28 3.38 kg/m 2 , P < 0.001 univariate multivariate analyses). Sixty followed up 1–9 years, median 52 months. The duration shorter non-remission ( = 0.020), tumor lateralization different two groups 0.005). Conclusions: Nearly one-third suffered our there existed potential links To be more specific, AML-related likely result obesity renal compression by perirenal endocrine disorders or vessels compression. Patients 3 might less possibility recover.