علاج ورم النخاع الشحمي القشري الكظري في فرط التنسج الكظري الخلقي سيئ التحكم

References

• Bilateral adrenalectomy is occasionally used in poorly controlled congenital adrenal hyperplasia, sometimes with concomitant bilateral adrenal myelolipomas.
• Patients with large or bilateral myelolipomas, or both, should be investigated for a possibility of congenital adrenal hyperplasia, with measurement of 17OHP concentrations.
• Since adrenal rest tumours, especially in the testicles, might impair fertility, surgical removal of adrenal myelolipomas in congenital adrenal hyperplasia should only be done after careful consideration.