Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran.
Br J Neurosurg. 2023 Dec;37(6):1805-1808. doi: 10.1080/02688697.2021.1926923. Epub 2021 May 24.
Myelolipoma is a benign tumor containing mature adipose cells and a combination of myeloid and erythroid elements. This tumor is typically found in the adrenal glands; however, it has been detected outside the adrenal glands in rare cases. We report an extremely rare case of myelolipoma in the lumbar spine causing significant neural compression due to the involvement of the posterior spinal elements. Given the significant neurological deficit, the patient was surgically managed as soon as possible. Extra-adrenal myelolipomas are rare lesions, and only one case has been reported in the spine so far. However, this diagnosis should be considered in cases with its characteristic imaging features.
骨髓脂肪瘤是一种含有成熟脂肪细胞和骨髓及红系细胞成分的良性肿瘤。这种肿瘤通常发生在肾上腺；然而，在罕见情况下也有在肾上腺外发现的报道。我们报告了一例极罕见的发生在腰椎的骨髓脂肪瘤病例，由于累及脊柱后部结构，导致明显的神经压迫。鉴于存在明显的神经功能缺损，患者被尽快进行了手术治疗。肾上腺外骨髓脂肪瘤是一种罕见病变，目前为止仅在脊柱中报告过一例。然而，对于具有其特征性影像学表现的病例，应考虑该诊断。
