Sakamoto Jin, Morimura Yuuki, Isowa Noritaka, Kosaka Shinji
Department of Thoracic Surgery, Shimane Prefectural Central Hospital, Izumo, Japan.
Kyobu Geka. 2022 Nov;75(12):1055-1058.
The patient was a 66-year-old male. Computed tomography( CT) scan revealed a tumor of the posterior mediastinum 2 years before and grew slowly 49.0 to 51.4 mm in the longest diameter of the coronal slice. Thoracoscopic surgery was performed to resect it. The pathological examination revealed a predominantly mature adipose tissue with hematopoietic tissue in hematoxylin and eosin( HE) staining and the hematopoietic tissue was comprised of mature erythroblasts, megakaryocytes, and granulocytes in immune staining, which diagnosed it as myelolipoma. Incidence of myelolipoma which originates from besides adrenal glands is reported 0.08 to 0.2%. As far as we can search, 40 cases of myelolipoma of the posterior mediastinum are in the literatures.
该患者为66岁男性。计算机断层扫描(CT)显示2年前后纵隔有一肿瘤,冠状面最长径缓慢生长至49.0至51.4毫米。遂行胸腔镜手术切除。病理检查显示苏木精-伊红(HE)染色主要为成熟脂肪组织伴造血组织,免疫染色显示造血组织由成熟成红细胞、巨核细胞和粒细胞组成,诊断为髓脂肪瘤。起源于肾上腺以外部位的髓脂肪瘤发病率报道为0.08%至0.2%。据我们检索,文献中后纵隔髓脂肪瘤有40例。