Open Access

Clinical management of extra‑adrenal myelolipoma in the central nervous system: A case report

  • Authors:
    • Zhijian Xu
    • Song Yang
    • Qi Tu
    • Peiyue Han
    • Lixia Wang
    • Lude Wang
    • Minfeng Tong
    • Huahui Chen
  • View Affiliations

  • Published online on: June 19, 2024     https://doi.org/10.3892/etm.2024.12616
  • Article Number: 327
  • Copyright: © Xu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Extra‑adrenal myelolipoma (EAM) is a rare benign tumor composed of mature adipose and hematopoietic tissues. Its etiology remains to be elucidated and there are few case reports describing the clinical features and treatment of EAMs in the central nervous system. The present study presented our experience and practice in the clinical management of a case of EAM in the right frontal region. A 56‑year‑old woman was found to have a space‑occupying right frontal lesion on computed tomography (CT) of the head. Unenhanced magnetic resonance imaging (MRI) showed a lesion of ~1.5x1.2 cm. Enhanced whole abdominal CT showed a right presacral mass, 2.0 cm in diameter, with clear margins. The postoperative histopathological findings showed mainly mature adipose tissue mixed with extramedullary hematopoietic components. This confirmed the diagnosis of a (bone) marrow lipoma. Myelolipoma of the central nervous system is extremely rare. to the best of the authors' knowledge, only two cases of intracranial myelolipoma have been reported, and the present study introduced the first case in a Chinese patient reported in English. However, when CT shows high density and MRI shows mixed density in the tumor area even without enhancement, the possibility of myelolipoma should be considered in the differential diagnosis.
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August-2024
Volume 28 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Xu Z, Yang S, Tu Q, Han P, Wang L, Wang L, Tong M and Chen H: Clinical management of extra‑adrenal myelolipoma in the central nervous system: A case report. Exp Ther Med 28: 327, 2024
APA
Xu, Z., Yang, S., Tu, Q., Han, P., Wang, L., Wang, L. ... Chen, H. (2024). Clinical management of extra‑adrenal myelolipoma in the central nervous system: A case report. Experimental and Therapeutic Medicine, 28, 327. https://doi.org/10.3892/etm.2024.12616
MLA
Xu, Z., Yang, S., Tu, Q., Han, P., Wang, L., Wang, L., Tong, M., Chen, H."Clinical management of extra‑adrenal myelolipoma in the central nervous system: A case report". Experimental and Therapeutic Medicine 28.2 (2024): 327.
Chicago
Xu, Z., Yang, S., Tu, Q., Han, P., Wang, L., Wang, L., Tong, M., Chen, H."Clinical management of extra‑adrenal myelolipoma in the central nervous system: A case report". Experimental and Therapeutic Medicine 28, no. 2 (2024): 327. https://doi.org/10.3892/etm.2024.12616