World’s largest Tumor 11. 5 Kg removed from 55 Yr old patients

Janjivan Bureau

New Delhi: Doctors of Fortis Flt. Lt. Rajan Dhall Hospital removed BMI-48 from a 55-year-old Ashwini Marwah. The hospital is claiming that this is the World’s largest Adrenal Tumor. Marwah was also suffering from type 2 diabetes and hypertension.

Talking to media persons Dr Randeep Wadhawan, Director, MAS, Bariatric & GI  Surgery said “there are increasing incidence of large adrenal myelolipoma (>10cm) presenting with life threatening and recurrent retroperitoneal hemorrhage leading to  complications such as abscess and rupture . In case of Mr. Ashwini, with body mass index (BMI) of 48, diabetes Mellitus, hypertension and early changes of Nephropathy, he was a high risk candidate for surgery. He was evaluated extensively prior to surgery. We had to make a large incision on his abdomen in view of the giant size of the tumor. The tumor on removal weighed 11.5kgs, making it the largest adrenal myelolipoma ever to be excised. It was also highly vascular and attached to Right Kidney, Inferior Venacava and intestines . The biggest challenge in his case was to salvage his right kidney since his kidney functions were  already  affected due to his comorbidities like  diabetes and hypertension. Histopathology of the tumor confirmed the diagnosis of adrenal myelolipoma. ”

The largest tumors to have been reported in India so far weighed 6 kgs and was removed in 2003. The largest adrenal adenoma, which is one the differential diagnosis for the adrenal tumors, removed in the world weighed 7.5 kgs and was removed from a patient in 2013 claiming it to be the largest adrenal tumor to have been removed before the one found inside Mr. Marwah. Adrenal myelolipoma is a very rare benign tumor, which contains mature adipose tissue and variable amounts of haematopoietic, elements. Most lesions are small and asymptomatic and discovered incidentally. It is usually small, asymptomatic and non-functional in nature with an overall incidence of 0.05-0.2%.

Mr Ashwini Marwah happily shared his experience, “I was taken by surprise when Dr Wadhawan told me that your weight gain is not due to Diabetes  but due to a Giant Adrenal Tumor. Greater relief was shared by Dr Wadhawan when he told me that tumor is not harming my other organ and was removable. Post-surgery I have lost more than 30kgs and now my diabetes is also under control. My recovery period post-surgery has been very comfortable and thanks to Dr Wadhawan and his team to give me a new and healthy life.”