Abbas Syed H, Goyal Geetika, Yu Kate, Loo Abraham
Pathology, Monmouth Medical Center, Long Branch, USA.
Pathology, Saint Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Livingston, USA.
Cureus. 2019 Jun 4;11(6):e4830. doi: 10.7759/cureus.4830.
Myelolipoma are tumors of adrenal glands typically found in the adrenal gland, and are comprised of marrow elements and fat. We report a case of an extra adrenal myelolipoma in a 91-year-old patient, who presented to the emergency department with complaints of abdominal pain and shortness of breath. A CT scan of the abdomen and pelvis revealed a mixed attenuation soft tissue mass with admixed fat located within the mesentery inferior to the body of the stomach. A fine needle aspirate of the mass demonstrated a cellular aspirate with maturing trilineage hematopoiesis and mature adipocytes. This case is being presented due to the rarity of extra adrenal myelolipomas.
肾上腺髓质脂肪瘤是一种通常位于肾上腺的肿瘤，由骨髓成分和脂肪组成。我们报告一例91岁患者的肾上腺外髓质脂肪瘤，该患者因腹痛和呼吸急促就诊于急诊科。腹部和骨盆的CT扫描显示，在胃体下方的肠系膜内有一个混合密度的软组织肿块，内有混合脂肪。对该肿块进行细针穿刺抽吸，显示吸出物中有成熟的三系造血细胞和成熟的脂肪细胞。由于肾上腺外髓质脂肪瘤罕见，故报道此病例。
