title: Multidisciplinary diagnostic approach combining fine needle aspiration, core needle biopsy and imaging features of a presacral myelolipoma in a patient with concurrent breast cancer.
abstract: Myelolipomas are uncommon benign tumors composed of mature adipose tissue mixed with hematopoietic elements; these tumors can occur in both the adrenal glands and extra-adrenal locations, the presacral region being the most frequent extra-adrenal site. We present a case of presacral myelolipoma diagnosed by fine needle aspiration (FNA) and core needle biopsy (CNB) in a 55-year-old woman with concurrent invasive ductal breast cancer. TC and RM imaging were consistent with the diagnosis of presacral myelolipoma. The lesion was discovered incidentally during the staging procedure for breast malignancy. The purpose of our work is to describe the FNA and CNB finding in combination with the imaging features of this uncommon lesion.
authors.affiliation: Department of Advanced Biomedical Sciences, University of Naples "Federico II", Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Varone
authors.affiliation: Department of Advanced Biomedical Sciences, University of Naples "Federico II", Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ciancia
authors.affiliation: Department of Specialist Surgery and Nephrology, University of Naples "Federico II", Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Bracale
authors.affiliation: Department of Specialist Surgery and Nephrology, University of Naples "Federico II", Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Merola
authors.affiliation: Department of Public Health, University of Naples "Federico II", Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vetrani
authors.affiliation: Department of Advanced Biomedical Sciences, University of Naples "Federico II", Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Pettinato
authors.affiliation: Department of Public Health, University of Naples "Federico II", Italy. Electronic address: coimma73@gmail.com.
authors.forename: Immacolata
authors.initials: I
authors.lastname: Cozzolino
mesh_terms: D044963:Biopsy, Fine-Needle; D062005:Biopsy, Large-Core Needle; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018209:Myelolipoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000473:pathology*; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology
keywords: CNB; Extradrenal myelolipoma; FNA; Imaging features