Synchronous occurrence of a hepatic myelolipoma and two hepatocellular carcinomas

Table 1 Summary of clinical data on patients with hepatic myelolipoma in the English literature

Ref.	Year	Sex/age	Symptom	location	Imaging method	Number	Size (cm)	Treatment
Present case	2016	F/26	Upper abdomen pain	Right liver lobe	CT	Solitary	5.0	Resection
Menozzi et al[3]	2016	F/72	Asymptomatic	Right liver lobe	US, CT, CEUS	Solitary	3.5	NA
Radhi[4]	2010	M/76	Symptoms related to a urinary tract infection	Segment VIII of the right liver	US, CT	Solitary	3.2	NA
Savoye-Coll et al[5]	2000	M/25	Asymptomatic	Segment IV	MRI	Solitary	9.0	Left hepatectomy
Van et al[6]	1994	M/57	Asymptomatic	Right liver lobe	US, CT	Solitary	1.4	Hemihepatectomy
Moreno et al[7]	1991	M/40	Malaise, anorexia, fever	Right liver lobe	X-rays, CT, Radioisotope scan	Solitary	15.0	Right hepatic lobectomy
Nishizaki et al[8]	1989	F/56	Right upper abdominal pain	Right post segment	US; CT, Hepatic arteriography	Solitary	5.5	Right posterior segmentectomy
				subcapsule
Kaurich et al[9]	1988	F/42	Asymptomatic	Left liver lobe	US; CT, Hepatic arteriography	Solitary	6.0	Resection
Mali et al[10]	1986	M/63	Hepatomegaly	Right liver lobe subcapsule	US; CT	Solitary	15.0	No treatment
Rubin et al[11]	1984	F/56	Abdominal pain, RUQ tenderness	Right post segment subcapsule	CT, Hepatic arteriography	Solitary	8.0	Resection
AFIP case[12]	1976	F/53	NA	Left liver lobe	NA	Solitary	2.0	NA

AFIP: Armed Forces Institute of Pathology; M: Male; F: Female; NA: Not available; US: Ultrasound; CT: Computed tomography; MRI: Magnetic resonance imaging; CEUS: Contrast-enhanced ultrasound.

Table 2 Summary of clinical data from all 11 cases of hepatic myelolipoma

	n (%) or mean ± SD (range)
Age (yr) (n = 11)
Mean	51.45 ± 16.74 (25-76)
Sex (male/female), (male %) (n = 11)	5/6 (45.45)
Symptoms (n = 10)
Asymptomatic	4 (40.00)
Symptomatic (n = 10)
Abdominal pain	3 (30.00)
Symptoms related to a urinary tract infection	1 (10.00)
Malaise	1 (10.00)
Anorexia	1 (10.00)
Fever	1 (10.00)
Hepatomegaly	1 (10.00)
Location (n = 11)
Right liver lobe	9 (81.82)
Left liver lobe	2 (18.18)
Mean size (cm) (n = 11)	6.69 ± 4.71 (1.4-15)
Operation (n = 11)
Resection	7 (63.64)
No resection	1 (9.09)
Not available	3 (27.27)