Thoracic myelolipoma diagnosed by endoscopic ultrasonography and fine-needle aspiration cytology

Rossi, Marzia; Ravizza, Davide; Fiori, Giancarla; Trovato, C.; Renne, Giuseppe; Miller, Mara Jo; Tamayo, D.; Crosta, C.

doi:10.1055/s-2007-966147

Cited by 11 publications

(6 citation statements)

References 3 publications

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“…A CT-guided fine needle biopsy has been reported useful to avoid surgery. However, the use of needle biopsy can augment the risk of bleeding and tumor rupture [ 9 , 10 ]. The differential diagnosis of thoracic extra-adrenal myelolipoma and thoracic extramedullary hematopoiesis cannot be confirmed purely on a pathological basis as both these conditions feature hematopoietic elements and adipose tissue [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum

Himuro

Minakata

Oshima

et al. 2016

J Cardiothorac Surg

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Background: Myelolipoma is an uncommon tumor comprising adipose tissue and normal hematopoietic cells and mainly occurs in the adrenal cortex. Mediastinal myelolipoma is very rare; we report a case of posterior mediastinal myelolipoma that required surgical resection. Case Presentation: A 56-year-old male was diagnosed with a posterior mediastinal tumor by computed tomography. The tumor was originally noted in 2005, and during follow-up in March 2014, it was found to have increased in size. During consultation at our hospital, on magnetic resonance imaging (MRI), we considered the possibility that the tumor was malignant. Consequently, we resected the tumor by video-assisted thoracic surgery (VATS). The histopathological findings revealed that the tumor had undergone intrathoracic extramedullary hematopoiesis. However, after considering the patient's background and histopathological findings, we diagnosed the tumor as a thoracic extra-adrenal myelolipoma. Conclusions: Pathological analysis was instrumental in clarifying the diagnosis. We recommend surgery as a treatment option for posterior mediastinal tumors.

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Section: Discussionmentioning

confidence: 99%

Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum

Himuro

Minakata

Oshima

et al. 2016

J Cardiothorac Surg

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“…However, there are some reports of successful diagnosis with CT-guided or endoscopic ultrasonography-guided biopsy [6,7]. There have been no reports of malignant myelolipoma.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Video-Assisted Thoracoscopic Surgery Resection for Multiple Mediastinal Myelolipoma: Report of a Case

Nakagawa

Kohno

Mun

et al. 2014

Korean J Thorac Cardiovasc Surg

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Myelolipoma in the mediastinum is an extremely rare entity. In this report, we present the case of a 79-year-old asymptomatic man who had three bilateral paravertebral mediastinal tumors. The three tumors were resected simultaneously using bilateral three-port video-assisted thoracoscopic surgery (VATS). There has been no evidence of recurrence within four years after the operation. Multiple bilateral mediastinal myelolipomas are extremely rare. There are no reports in the English literature of multiple bilateral thoracic myelolipomas that were resected simultaneously using bilateral VATS. We also present characteristic features of myelolipomas, which are helpful for diagnosis.

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“…But the teratoma usually occurs in the anterior mediastinum, and it is generally a large solitary tumor. With the assistant of thoracoscopic or CT guided needle biopsy, the diagnosis is relatively easy (21)(22)(23). However, according to our table, mediastinal myelolipoma mostly occurring in posterior mediastinum (92%), it is difficult to biopsy accurately by fineneedle aspiration from anterior chest wall, which can be associated with a risk simultaneously, such as hemorrhage, pneumothorax etc.…”

Section: Not Statedmentioning

confidence: 92%

Primary mediastinal myelolipoma: a case report and literature review

et al. 2017

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Myelolipoma is a kind of rare benign tumour composed of mature adipocytes and hemopoietic elements, and is most often found in the adrenal glands. Primary mediastinal myelolipoma (PMM) more rarely happens and has no definite symptoms, and mediastinal masses are usually found in chest examination. The patients normally receive a surgical resection and have a favorable prognosis after postoperative pathological diagnosis. Here, we present the case of PMM, which was resected via video-assisted thoracic surgery (VATS), and investigate recent correlative literatures to summarize its etiology, histopathology, differential diagnosis and therapeutic method. In this way, we aim to improve clinical doctors' understanding of this disease.

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Thoracic myelolipoma diagnosed by endoscopic ultrasonography and fine-needle aspiration cytology

Cited by 11 publications

References 3 publications

Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum

Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum

Bilateral Video-Assisted Thoracoscopic Surgery Resection for Multiple Mediastinal Myelolipoma: Report of a Case

Primary mediastinal myelolipoma: a case report and literature review

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