1例采用电视辅助胸腔镜手术（VATS）治疗的罕见纵隔髓脂肪瘤伴症状病例。

An unsual symptomatic case of mediastinal myelolipoma treated by VATS approach.

作者信息

Migliore Marcello, Calvo Damiano, Criscione Alessandra, Caltabiano Rosario, Platania Nunzio, Barbagallo Giuseppe, Albanese Vincenzo

出版信息

Ann Ital Chir. 2014 Jan-Feb;85(1):85-7.

PMID:24755445

Abstract

Symptomatic mediastinal location of an extra-adrenal myelolipoma is extremely rare. We describe a 56-year-old female with unusual pain in the right lower posterior chest radiated to the neck and to the upper abdomen. Chest CT showed a lesion of 3.5 x 2.2 cm in the posterior mediastinum. Video-assisted resection was performed and the final pathologic examination revealed the presence of a myelolipoma. Herein we discuss the clinical presentation, the differential diagnosis and treatment of mediastinal myelolipoma.

摘要

肾上腺外髓脂肪瘤出现有症状的纵隔定位极为罕见。我们报道一名56岁女性，其右下后胸部出现异常疼痛，并放射至颈部和上腹部。胸部CT显示后纵隔有一个3.5×2.2厘米的病变。进行了电视辅助切除术，最终病理检查显示存在髓脂肪瘤。在此我们讨论纵隔髓脂肪瘤的临床表现、鉴别诊断及治疗。