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Meta-analysis of reported presacral myelolipomas, including a report of a new case
Congde Xu1, Atsuko Kasajima2, Alexander Novotny3
1Klinikum rechts der Isar, Klinik und Poliklinik für Chirurgie, TU München, Ismaninger Straße 22, 81675, Munich, Deutschland. congde.xu@tum.de.
Background:
Presacral myelolipomas form a rare disease and are often found incidentally in imaging diagnostics.
Case Presentation:
In this study, we report the case of a 71-year-old caucasian female with an incidental finding of a retroperitoneal tumor on magnetic resonance imaging scan. This report aimed at presenting the clinical course of this patient with emphasis on analysis of pathological, clinical, and epidemiological features in a meta-analysis of reported cases.
Conclusion:
Presacral myelolipomas are rare and its etiology remains unclear. Surgical resection is indicated in symptomatic lesions and lesions > 4 cm. More clinical and pathological research on this rare entity is warranted.

