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Adrenal and extra-adrenal myelolipomas - a comparative case report
Arsany Hakim1, Christoph Rozeik1
1Department of Radiology, Loerrach district hospital, Loerrach, Germany.
Journal of Radiology Case Reports
|June 27, 2014
Summary
This study reports a rare case of multifocal extra-adrenal myelolipoma in the thoracic paravertebral region, confirmed by biopsy. It highlights the importance of imaging and histological confirmation for these uncommon benign tumors.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Myelolipomas are rare benign tumors composed of mature adipose tissue and hematopoietic elements.
- They are most commonly found in the adrenal gland, but can occur in extra-adrenal locations.
Observation:
- A case of multifocal extra-adrenal myelolipoma in the thoracic paravertebral region was incidentally discovered on chest X-ray.
- Multi-detector computed tomography and magnetic resonance imaging were used for further investigation.
- Histological confirmation was obtained via computed tomography-guided biopsy.
Findings:
- This case represents a rare occurrence of multifocal extra-adrenal myelolipoma.
- The study reviews published literature on adrenal and extra-adrenal myelolipomas.
- It summarizes the diverse locations of extra-adrenal myelolipoma based on a PubMed literature review.
Implications:
- This case expands the known locations for extra-adrenal myelolipomas.
- It underscores the utility of advanced imaging techniques in diagnosing such rare entities.
- Understanding the varied presentations of extra-adrenal myelolipomas aids in accurate diagnosis and management.
