An Unusual Fat-Containing Presacral Tumor in an Elderly Patient
The authors present a case of a presacral myelolipoma diagnosed in an 84-year-old male patient with longstanding pelvic pain and past medical history of bladder cancer. Pelvic computed tomography (CT) revealed a well-encapsulated and lobulated presacral mass, with mixed fat and soft-tissue attenuati...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2014/674365 |
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| author | Maria Inês Leite Afonso Gonçalves Ana Cristina Ferreira Santiago Ortiz Rui Esteves Isabel Távora |
| author_facet | Maria Inês Leite Afonso Gonçalves Ana Cristina Ferreira Santiago Ortiz Rui Esteves Isabel Távora |
| author_sort | Maria Inês Leite |
| collection | DOAJ |
| description | The authors present a case of a presacral myelolipoma diagnosed in an 84-year-old male patient with longstanding pelvic pain and past medical history of bladder cancer. Pelvic computed tomography (CT) revealed a well-encapsulated and lobulated presacral mass, with mixed fat and soft-tissue attenuation. Magnetic resonance (MR) imaging provided further confirmation of macroscopic intralesional fat and excluded either adjacent bone invasion or bladder cancer recurrence. A presacral myelolipoma was suspected based on imaging findings, with liposarcoma and teratoma having also been considered for the differential diagnosis. The histological confirmation of the tumor was only attained postoperatively. This case report alerts to the possible presacral location of myelolipomas, which should be considered for every fat-containing lesion detected in this region. The main clinical, imaging, and differential diagnoses of this entity are reviewed in this paper. |
| format | Article |
| id | doaj-art-342155e33b864d3f80136b9bbc10e419 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-342155e33b864d3f80136b9bbc10e4192025-02-03T05:48:38ZengWileyCase Reports in Radiology2090-68622090-68702014-01-01201410.1155/2014/674365674365An Unusual Fat-Containing Presacral Tumor in an Elderly PatientMaria Inês Leite0Afonso Gonçalves1Ana Cristina Ferreira2Santiago Ortiz3Rui Esteves4Isabel Távora5Radiology Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalRadiology Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalPathology Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalPathology Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalSurgery Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalRadiology Department, Hospital Santa Maria, 1649-035 Lisbon, PortugalThe authors present a case of a presacral myelolipoma diagnosed in an 84-year-old male patient with longstanding pelvic pain and past medical history of bladder cancer. Pelvic computed tomography (CT) revealed a well-encapsulated and lobulated presacral mass, with mixed fat and soft-tissue attenuation. Magnetic resonance (MR) imaging provided further confirmation of macroscopic intralesional fat and excluded either adjacent bone invasion or bladder cancer recurrence. A presacral myelolipoma was suspected based on imaging findings, with liposarcoma and teratoma having also been considered for the differential diagnosis. The histological confirmation of the tumor was only attained postoperatively. This case report alerts to the possible presacral location of myelolipomas, which should be considered for every fat-containing lesion detected in this region. The main clinical, imaging, and differential diagnoses of this entity are reviewed in this paper.http://dx.doi.org/10.1155/2014/674365 |
| spellingShingle | Maria Inês Leite Afonso Gonçalves Ana Cristina Ferreira Santiago Ortiz Rui Esteves Isabel Távora An Unusual Fat-Containing Presacral Tumor in an Elderly Patient Case Reports in Radiology |
| title | An Unusual Fat-Containing Presacral Tumor in an Elderly Patient |
| title_full | An Unusual Fat-Containing Presacral Tumor in an Elderly Patient |
| title_fullStr | An Unusual Fat-Containing Presacral Tumor in an Elderly Patient |
| title_full_unstemmed | An Unusual Fat-Containing Presacral Tumor in an Elderly Patient |
| title_short | An Unusual Fat-Containing Presacral Tumor in an Elderly Patient |
| title_sort | unusual fat containing presacral tumor in an elderly patient |
| url | http://dx.doi.org/10.1155/2014/674365 |
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