{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:10:24Z","timestamp":1735776624811,"version":"3.32.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Adrenal myelolipomas are uncommon benign adrenal tumors, which mostly occur unilaterally. We describe a rare case of giant bilateral adrenal myelolipoma mistaken for retroperitoneal liposarcoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 49\u2010year\u2010old man developed fever, left flank pain, and a large mass in his left abdomen. Plain computed tomography showed a 23\u2010cm mass with fat\u2010containing components in the retroperitoneal cavity, suggestive of retroperitoneal liposarcoma. A similar 9\u2010cm mass was observed in the right adrenal gland, suggesting adrenal metastasis. With a clinical diagnosis of retroperitoneal liposarcoma, we administered preoperative radiation therapy and performed a bilateral tumor resection. On postoperative day 9, a surgical site infection occurred, necessitating incisional drainage and the administration of intravenous antibiotics. The histopathological diagnosis was bilateral myelolipoma of the adrenal glands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In cases of bilateral retroperitoneal tumors with a large fat component, adrenal myelolipoma should be considered in the differential diagnosis to avoid overtreatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12792","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T16:38:52Z","timestamp":1728664732000},"page":"15-18","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare huge bilateral adrenal myelolipoma confused with retroperitoneal liposarcoma"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6983-2214","authenticated-orcid":false,"given":"Kana","family":"Ito","sequence":"first","affiliation":[{"name":"Division of Urology Shizuoka Cancer Center  Shizuoka 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