Extra-adrenal Myelolipoma: Tumour at an Unusual Site
Published: December 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/30916.10935
BR Yelikar, K Mamatha, Abhey Chawla, Neha Kathpal
1. Professor and Head, Department of Pathology, Shri B.M.Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India.
2. Assistant Professor, Department of Pathology, Shri B.M.Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India.
3. Postgraduate Student, Department of Pathology, Shri B.M.Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India.
4. Postgraduate Student, Department of Pathology, Shri B.M.Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India.
Correspondence
Dr. K Mamatha,
Assistant Professor, Department of Pathology, Shri B.M.Patil Medical College Hospital and Research Centre,
Vijayapura-586103, Karnataka, India.
E-mail: mamatha.k@bldeuniversity.ac.in
A myelolipoma is a rare, well circumscribed, benign tumour composed of mature adipose and haematopoietic tissue. Classical location is adrenal gland but extra-adrenal cases are also reported in the presacral region, liver, mediastinum, perirenal, stomach with most common site being the presacral area. Only few cases of extra-adrenal myelolipoma have been reported in literature till now with an incidence of 14% of all myelolipomas. Differential diagnosis includes liposarcoma, teratoma, and extramedullary haematopoiesis. Histopathological diagnosis plays a major role in confirmation but also requires concordance of CT, MRI, and Guided biopsy. Extra-adrenal myelolipomas are very rare and their presence and location can be easily confused with malignant tumour. We present this case in a 54-year-old male with mass per abdomen and weight loss since one year.
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