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Case Report Open Access
Volume 6 | Issue 1 | DOI: https://doi.org/10.33696/casereports.6.030

Bilateral Paravertebral Myelolipoma at Posterior Mediastinum, with a Compressive Effect on the Trachea; A Case Report

  • 1Department of Thoracic Surgery, Farhikhtegan Research Center, Tehran Medical Sciences School Branch, Islamic Azad University, Tehran, Iran
  • 2Department of Radiology, Imam-Reza Hospital, Aja University of Medical Science, Tehran, Iran
  • 3Department of Pathology, Farhikhtegan Research Center, Tehran University of Medical Sciences School Branch, Islamic Azad University, Tehran, Iran
+ Affiliations - Affiliations

Corresponding Author

Kiana Rezvanfar, kianarezvanfar@gmail.com

Received Date: July 17, 2024

Accepted Date: August 19, 2024

Abstract

Background: Myelolipoma is a rare benign tumor composed of hematopoietic elements and adipose tissue. It is a nonfunctional tumor that often presents as an infrequent mass, leading to potential misdiagnosis.

Case presentation: This case report presents the case of a 77-year-old man who was referred to the hospital due to a severe productive cough and dyspnea. The symptoms had begun three weeks prior. Radiological examinations, including chest computed tomography (CT) and magnetic resonance imaging (MRI), revealed the presence of bilateral paravertebral masses. A biopsy of the left posterior mediastinum tissue, performed under CT scan guidance, showed sheets of trilineage hematopoietic elements surrounded by adipose tissue, which was consistent with myelolipoma. Subsequently, surgical excision of the mass was performed. Pathological examination confirmed the mass as benign and confirmed the nature of myelolipoma.

Conclusions: Myelolipoma should be considered in the differential diagnosis of mediastinal masses, as it is rare but possible. Differential diagnosis of myelolipoma, particularly from extramedullary hematopoiesis, is necessary.

Keywords

Myelolipoma, Extramedullary hematopoiesis, Mediastinal neoplasms, Case report

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