Zombori Tamás, Tóth Noémi, Furák József, Berényi Zsolt, Tiszlavicz László
Patológiai Intézet, Szegedi Tudományegyetem, Általános Orvostudományi Kar 6725 Szeged, Állomás u. 1.
Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
Magy Seb. 2017 Mar;70(1):74-77. doi: 10.1556/1046.70.2017.1.11.
A 71-year-old male with acute exacerbation of chronic bronchitis was treated in summer of 2015. The CT scan has revealed a mass on the right side of 11th thoracic vertebra in the adipose tissue with a sharp edge towards the lung and containing a small amount of contrast agent. The radiologist recommended histological sampling of the mass. The tumor was removed by Video-Assisted Thoracic Surgery (VATS) in August of 2015. The patient was discharged on the fifth postoperative day without complication. Myelolipoma was diagnosed by histological examination. Recurrence was not detected during the one-year-follow-up period.
Myelolipoma is a benign tumor consisting of mature lobulated adipose tissue and hemopoetic bone marrow. It arises mainly from the adrenal gland. Surgical resection is recommended due to the potential of progressive enlargement. Although the extraadrenal myelolipoma is an uncommon entity, in case of mediastinal, encapsulated, slow-growing tumor, myelolipoma should be considered as a differential diagnosis.
一名71岁男性，患有慢性支气管炎急性加重，于2015年夏季接受治疗。CT扫描显示，在第11胸椎右侧的脂肪组织中有一个肿块，其边缘朝向肺部清晰，且含有少量造影剂。放射科医生建议对该肿块进行组织学取样。2015年8月通过电视辅助胸腔镜手术（VATS）切除了肿瘤。患者术后第五天出院，无并发症。组织学检查诊断为髓脂肪瘤。在一年的随访期内未发现复发。
髓脂肪瘤是一种由成熟的分叶状脂肪组织和造血骨髓组成的良性肿瘤。它主要起源于肾上腺。由于其有逐渐增大的可能性，建议进行手术切除。尽管肾上腺外髓脂肪瘤是一种罕见的实体，但对于纵隔、有包膜、生长缓慢的肿瘤，髓脂肪瘤应被视为鉴别诊断之一。
