Adrenal myelolipomas are nonfunctioning benign tumors composed of hema
topoietic elements and mature adipose tissue, These tumors usually rem
ain small and asymptomatic; occasionally, however, they reach massive
proportions and become symptomatic, To date, only two giant adrenal my
elolipomas (>4,000 g) have been described in the literature. We descri
be the diagnostic evaluation and the operative management of the third
largest adrenal myelolipoma reported.