Adrenal cortical myelolipoma is managed according to a structured, evidence-based protocol. The central clinical question is identifying which presentations meet the defined criteria for active intervention versus ongoing monitoring.
Adrenalectomy is rarely needed and is usually reserved for very large lesions with substantial symptoms of mass effect, or acute haemorrhage.
However, adrenalectomy in these cases is usually reserved only if symptoms of mass effect or acute haemorrhage is present.
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