Shi Qingtong, Pan Shu, Bao Yang, Fan Huangxin, Diao Yali
Department of Cardiothoracic Surgery, The First People's Hospital of Yangzhou, Yangzhou 225000, China.
Department of Cardiothoracic Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou 225000, China.
J Thorac Dis. 2017 Mar;9(3):E219-E225. doi: 10.21037/jtd.2017.02.65.
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.
髓脂肪瘤是一种由成熟脂肪细胞和造血成分组成的罕见良性肿瘤，最常发生于肾上腺。原发性纵隔髓脂肪瘤（PMM）更为罕见，且无明确症状，纵隔肿块通常在胸部检查时被发现。患者通常接受手术切除，术后病理诊断后预后良好。在此，我们报告一例通过电视辅助胸腔镜手术（VATS）切除的PMM病例，并检索近期相关文献以总结其病因、组织病理学、鉴别诊断及治疗方法。通过这种方式，我们旨在提高临床医生对该疾病的认识。
