Case Report
Thoracic Myelolipoma: A Rare Case of Mistake in Lung Cancer Staging
Ludovic Fournel1,2*, Audrey Mansuet-Lupo1,3, Marie-Pierre Revel1,4 and Jean-François Régnard 1,21Paris Descartes-Paris University, France
2Thoracic Surgery Department, Hôpitaux Universitaire Paris Centre, AP-HP, Paris, France
3Pathology Department, Hôpitaux Universitaire Paris Centre, AP-HP, Paris, France
4Radiology Department, Hôpitaux Universitaire Paris Centre, AP-HP, Paris, France
- *Corresponding Author:
- Ludovic Fournel
Thoracic surgery Department
Cochin Hospital
Hôpitaux Universitaire Paris Centre
Assistance Publique des Hôpitaux de Paris
Paris Descartes University, Paris, France
Tel: 33-6-21890633
Fax number : 33 145012067
E-mail: ludfoul@hotmail.com
Received Date: November 14, 2014; Accepted Date: December 13, 2014; Published December 20, 2014
Citation: Fournel L, Mansuet-Lupo A, Revel MP, Régnard JF (2014) Thoracic Myelolipoma: A Rare Case of Mistake in Lung Cancer Staging. J Clin Exp Pathol 5:202. doi: 10.4172/2161-0681.1000202
Copyright: ©2014 Fournel L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Myelolipomas are benign tumors containing hematopoietic and fatty elements. They are commonly located in the retroperitoneum and mainly characterized by low density and low 18-FDG uptake on computed and positronemission tomography imaging. We report here a very rare case of middle lobe lung carcinoma occurring together with a hyper metabolic right posterior thoracic nodule leading to a diagnosis of metastatic location by mistake. A CTguided core-needle biopsy was then performed and demonstrated the presence of both mature fat and hematopoietic tissue which was highly suggestive of myelolipoma. It allowed for curative treatment of the lung carcinoma and resection of the myelolipoma in the same time.