Primary mediastinal myelolipoma: A case report and review of the literature
- Authors:
- Chuanying Geng
- Nian Liu
- Guangzhong Yang
- Man Qi
- Wengming Chen
View Affiliations
Affiliations: Department of Hematology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, P.R. China, Department of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, P.R. China
- Published online on: December 19, 2012 https://doi.org/10.3892/ol.2012.1085
-
Pages:
862-864
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Myelolipoma is a rare, benign neoplasm composed of mature adipocytes and hematopoietic tissue, mainly occurring in the adrenal glands. The majority of extra-adrenal myelolipomas have been identified in the presacral region and primary mediastinal myelolipoma is very rare. Computed tomography (CT) and magnetic resonance imaging (MRI) are effective methods to detect myelolipoma, while fine‑needle aspiration (FNA) combined pathology is able to definitively rule out malignancy. There is no standard method of treatment for the disease. Small (<4 cm) asymptomatic tumors should be monitored, while symptomatic tumors or large (>7 cm) myelolipomas should be removed by surgery. This study describes a patient who presented with two mediastinal myelolipomas that were not encapsulated and presented as a string-of-pearls-type. The pathological diagnosis was myelolipoma and the patient did not relapse within the three years following resection.
View References
|
1
|
Kenney PJ, Wagner BJ, Rao P and Heffess
CS: Myelolipoma: CT and pathologic features. Radiology. 208:87–95.
1998. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Kim K, Koo BC, Davis JT and Franco-Saenz
R: Primary myelolipoma of mediastinum. J Comput Tomogr. 8:119–123.
1984. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Kawanami S, Watanabe H, Aoki T, Nakata H,
Hayashi T, Kido M, et al: Mediastinal myelolipoma: CT and MRI
appearances. Eur Radiol. 10:691–693. 2000. View Article : Google Scholar : PubMed/NCBI
|
|
4
|
Dan D, Bahadursingh S, Hariharan S, Ramjit
C, Naraynsingh V and Maharaj R: Extra-adrenal perirenal
myelolipoma. A case report and review of literature. G Chir.
33:62–65. 2012.PubMed/NCBI
|
|
5
|
Akamatsu H, Koseki M, Nakaba H, Sunada S,
Ito A, Teramoto S and Miyata M: Giant adrenal myelolipoma: report
of a case. Surg Today. 34:283–285. 2004. View Article : Google Scholar
|
|
6
|
Heylen S, Hubens G and Vaneerdeweg W:
Giant adrenal myelolipoma: a case report. Acta Chir Belg.
111:91–93. 2011.
|
|
7
|
Hasan M, Siddiqui F and Al-Ajmi M: FNA
diagnosis of adrenal myelolipoma: a rare entity. Diagn Cytopathol.
36:925–926. 2008. View
Article : Google Scholar : PubMed/NCBI
|
|
8
|
Cha JS, Shin YS, Kim MK and Kim HJ:
Myelolipomas of both adrenal glands. Korean J Urol. 52:582–585.
2011. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Lawler LP and Pickhardt PJ: Giant adrenal
myelolipoma presenting with spontaneous hemorrhage. CT, MR and
pathology correlation. Ir Med J. 94:231–233. 2001.PubMed/NCBI
|
|
10
|
Daneshmand S and Quek ML: Adrenal
myelolipoma: diagnosis and management. Urol J. 3:71–74. 2006.
|
|
11
|
Schaeffer EM and Kavoussi LR: Adrenal
myelolipoma. J Urol. 173:17602005. View Article : Google Scholar : PubMed/NCBI
|
|
12
|
Gao B, Sugimura H, Sugimura S, Hattori Y,
Iriyama T and Kano H: Mediastinal myelolipoma. Asian Cardiovasc
Thorac Ann. 10:189–190. 2002. View Article : Google Scholar : PubMed/NCBI
|
