Rib myelolipoma: a case report.

Autor: Amate Neto A; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., Preto FRC; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., de Moraes AT; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil. amandatollini@gmail.com.; Bauru, São Paulo, 17012-200, Brazil. amandatollini@gmail.com., Salomão SL; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., Frederigue TB; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., de Nadai MN; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., Santos MK; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil., de Nadai TR; University of São Paulo, Bauru Medical School (FMBRU-USP), Alameda Doutor Octavio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Aug 12; Vol. 18 (1), pp. 377. Date of Electronic Publication: 2024 Aug 12.
DOI: 10.1186/s13256-024-04682-1
Abstrakt: Background: Myelolipoma is an uncommon benign tumor composed of mature adipose tissue and hematopoietic elements. These tumors generally affect the adrenal glands, with anomalous presentations being rare and with few cases described in the literature. Most myelolipomas are asymptomatic and discovered incidentally, either through imaging tests or at autopsies. However, depending on the location and size of the lesion, myelolipomas can cause symptoms of mass effect. This article aims to report a very rare presentation of a symptomatic primary myelolipoma affecting the ribs.
Case Presentation: A 21-year-old white female patient presented with a complaint of burning chest pain over 3 months, with gradual worsening in intensity, accompanied by a progressively growing bulge in the right thoracic wall. The patient underwent thoracotomy of the fifth and sixth ribs with complete excision of the lesion with a safety margin. Thoracic wall reconstruction was performed using a polypropylene mesh. The patient had a good postoperative course and was discharged on postoperative day 3. Histopathological examination revealed a histological image consistent with myelolipoma.
Conclusions: This report underscores the importance of considering a myelolipoma diagnosis for tumor masses in the ribs.
(© 2024. The Author(s).)
Databáze: MEDLINE
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