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Eur J Cardiothorac Surg 2004;26:1220-1222
© 2004 Elsevier Science NL

Case report

Bilateral thoracic extraadrenal myelolipoma

^a Department of Pathology, Georg August University, Robert-Koch-Str. 40, D-37075 Göttingen, Germany
^b Department of Surgery, Evangelisches Krankenhaus, Weende, Göttingen, Germany
^c Department of Diagnostic Radiology, Georg August University, Göttingen, Germany

Received 4 May 2004; received in revised form 30 July 2004; accepted 3 August 2004.

^* Corresponding author. Tel.: +49 551 396858; fax: +49 551 398627. (E-mail: fuezesi{at}med.uni-goettingen.de).

Myelolipoma commonly occurs in the adrenal gland and is composed of both adipose tissue and normal hematopoietic elements. Extraadrenal myelolipoma may occur in the retroperitoneum, stomach, liver, lung, and in 3% of cases even in the mediastinum. We present a 65-year-old female patient with unspecific clinical symptoms. Routine chest roentgenograms revealed bilateral widening of the posterior mediastinum. Computed tomography showed bilateral, paravertebral lesions of 4.5 and 6.5cm in diameter, respectively. After surgical removal, bilateral thoracic myelolipoma was pathomorphologically diagnosed. The imaging differential diagnosis of bilateral solid lesions in the posterior mediastinum including lymph node metastases, lymphomas, neurogenic tumors and extramedullary hematopoietic tumors is discussed.

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