Many reports have described adrenal myelolipomas but there have been only a few reports of extra-adrenal myelolipomas. We describe a 74-year-old woman who came to our observa- tion for MRI of the lumbar spine for typical lumbar back pain. In addition to signs of mild scoliosis and spondylo disc arthrosis, MR imaging revealed a presacral mass showing a heterogeneously high signal in all pulse sequences and almost completely suppressed on inversion recovery sequences for fat tissue. CT imaging confirmed the fatty nature of the lesion and no signs of bone involvement. These findings were most consistent with a diagnosis of a rare presacral myelolipoma as confirmed at histopathologic analysis. This work reports a case of one of the rarest presacral masses, empha- sizing the role of imaging in the differential diagnosis of other presacral masses.

Gagliardo, C., Falanga, G., Sutera, R., La Tona, G., Lo Casto, A., Midiri, M., et al. (2014). Presacral Myelolipoma. THE NEURORADIOLOGY JOURNAL, VOLUME 27 - No. 6 - DECEMBER 2014(VOLUME 27 - No. 6 - DECEMBER 2014), 764-769 [doi: 10.15274/NRJ-2014-10092].

Presacral Myelolipoma

GAGLIARDO, Cesare;FALANGA, Giorgia;SUTERA, Raffaello;LA TONA, Giuseppe;LO CASTO, Antonio;MIDIRI, Massimo;LAGALLA, Roberto
2014-01-01

Abstract

Many reports have described adrenal myelolipomas but there have been only a few reports of extra-adrenal myelolipomas. We describe a 74-year-old woman who came to our observa- tion for MRI of the lumbar spine for typical lumbar back pain. In addition to signs of mild scoliosis and spondylo disc arthrosis, MR imaging revealed a presacral mass showing a heterogeneously high signal in all pulse sequences and almost completely suppressed on inversion recovery sequences for fat tissue. CT imaging confirmed the fatty nature of the lesion and no signs of bone involvement. These findings were most consistent with a diagnosis of a rare presacral myelolipoma as confirmed at histopathologic analysis. This work reports a case of one of the rarest presacral masses, empha- sizing the role of imaging in the differential diagnosis of other presacral masses.
2014
Settore MED/36 - Diagnostica Per Immagini E Radioterapia
Settore MED/37 - Neuroradiologia
Settore MED/50 - Scienze Tecniche Mediche Applicate
Gagliardo, C., Falanga, G., Sutera, R., La Tona, G., Lo Casto, A., Midiri, M., et al. (2014). Presacral Myelolipoma. THE NEURORADIOLOGY JOURNAL, VOLUME 27 - No. 6 - DECEMBER 2014(VOLUME 27 - No. 6 - DECEMBER 2014), 764-769 [doi: 10.15274/NRJ-2014-10092].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/102987
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