Presacral myelolipoma in a patient with colon carcinoma.
Myelolipoma is an uncommon benign tumor, composed of an admixture of adipose tissue and hematopoietic cells, usually discovered within the adrenal glands. Extra-adrenal myelolipomas are rare and approximately half of the reported cases were presacral. We report a case of an asymptomatic presacral myelolipoma measuring 9x8x7 cm, incidentally found in a 71-year-old woman with a stenosing colon cancer. Ultrasonography, computed tomography and magnetic resonance imaging of the presacral mass evidenced a well circumscribed tumor with heterogeneous features due to a nonuniform composition. Surgical excision of the mass was performed.
Giuliani
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Dept. of Surgery Pietro Valdoni, Universita La Sapienza, Rome, Italy.
Tocchi
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Caporale
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Demoro
M
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Miccini
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Di Bari
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M
Ciardi
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D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology*; D003125:Colostomy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary; D008279:Magnetic Resonance Imaging; D018209:Myelolipoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D012445:Sacrococcygeal Region; D014057:Tomography, X-Ray Computed