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. Author manuscript; available in PMC: 2022 Feb 17.
Published in final edited form as: Lancet Diabetes Endocrinol. 2021 Aug 24;9(11):767–775. doi: 10.1016/S2213-8587(21)00178-9

Table 1.

Epidemiology and clinical presentation of patients with adrenal myelolipomas.

Population-based or nationwide cohorts2,3 Endocrine clinic and radiology referral cohort13,3941 Adrenalectomy cohort3,13,29,4251 Congenital adrenal hyperplasia11
Proportion of all adrenal tumours 3.3–3.6% 1.8–6.5% 4–10% of all adrenal tumours
15–20% of large adrenal tumours > 4 cm
25.4% (all CAH)
36.6% (genetically verified CAH)
Proportion of benign adrenal tumours 3.7% - - Same as above
Median age at diagnosis, years - 60–65 50–55 44
Female sex - 45% 35–75% 35.7%
Mode of discovery:
Incidental
Symptoms of mass effect
Other

95%
0%
5%

86%
5%
9%

35–70%
20–50%
2–5%
Almost all occur due to poor hormonal control with either incidental discovery, or based on symptoms of mass effect
Median tumour size at diagnosis - 2 – 4 cm 5–7 cm 10.2 cm
Bilateral
Unilateral
- 5%
95%
5–10%
90–95%
59.6%
40.4%

CAH, congenital adrenal hyperplasia.