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酷似胸段神经鞘瘤的肾上腺外椎旁髓脂肪瘤

Extra-adrenal paravertebral myelolipoma mimicking a thoracic schwannoma.

作者信息

Schittenhelm Jens, Jacob Simon N, Rutczynska Joanna, Tsiflikas Ilias, Meyermann Richard, Beschorner Rudi

机构信息

University of Tuebingen, Calwer Str. 3, Tübingen 72076, Germany.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0561. Epub 2009 Mar 5.

Abstract

Myelolipoma of the adrenal gland is composed of both adipose tissue and normal haematopoietic elements. Extra-adrenal myelolipomas are rare. We present the case of a 63-year-old female patient with adenoma of the adrenal gland and an additional paravertebral lesion in the thoracic spine. Previous computed tomography of the lesion covering the nerve roots in the right T8-T9 foramina was compatible with a schwannoma. Post-mortem histopathology showed the incidental finding of a paravertebral myelolipoma.

摘要

肾上腺髓脂肪瘤由脂肪组织和正常造血成分组成。肾上腺外髓脂肪瘤罕见。我们报告一例63岁女性患者,患有肾上腺腺瘤,同时在胸椎有一个额外的椎旁病变。之前对覆盖右侧T8 - T9椎间孔神经根的病变进行的计算机断层扫描结果与神经鞘瘤相符。尸检组织病理学检查意外发现一个椎旁髓脂肪瘤。

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