Open AccessExtramedullary hematopoiesis in the adrenal: Case report and review of literature
Author(s) -
John Samuel Banerji,
Rajesh Kumar,
Antony Devasia
Publication year - 2013
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.1389
Subject(s) - extramedullary hematopoiesis , medicine , asymptomatic , adrenalectomy , adrenal gland , biopsy , pathology , adrenal insufficiency , histology , haematopoiesis , surgery , stem cell , biology , genetics
Extramedullary haematopoiesis (EMH) is common in the spleen, liver and lymph nodes, or in para osseus sites. EMH in the adrenal is rare, with fewer than 10 cases reported. We report the case of a 40-year-old male who underwent laparoscopic adrenalectomy for an incidentally detected adrenal mass. The histology showed extramedullary hematopoesis. In patients with a known history of haemolytic anaemia, an enlarged adrenal gland in an asymptomatic individual could represent extramedullary haematopoesis. A confirmatory biopsy would be all that is necessary to avoid adrenalectomy.