Adrenal myelolipoma

Myelolipoma is a rare benign tumor, which as a rule big in size. It consists of fat tissue and red marrow ele- ments. The use of highly-informative methods of diagnostics (US, CT MRI, fine needle aspiration, cytology examination) permits to state the appropriate diagnosis in 85-95% cases. The issue of selecting the best diagnostic approach not only to define the presence of myelolipoma but also to exclude adrenal cortical can- cer and lymphosarcoma still remains topical. Is it possible to recommend these patients for follow-up? In what case is the surgery the only way of treatment? Why are most patients operated, while it is not typical of myelolipoma to become malignant