Presentation
Further characterization of pelvic mass.
Patient Data
Age: 70 years
Gender: Female
From the case:
Presacral extra-adrenal myelolipoma
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Lobulated presacral soft tissue mass with interleaving fat.
Case Discussion
CT-guided biopsy of the mass returned a diagnosis of either extra-adrenal myelolipoma OR extramedulallary hematopoesis, as both contain hematopoetic tissue on pathological analysis. Because the patient did not have any bone marrow abnormalities to support the diagnosis of EMH, myelolipoma was felt to be most likely.
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