ArticleInternational journal of surgery case reports2025
A rare case of posterior mediastinal myelolipoma resected using robot-assisted thoracic surgery.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionMyelolipomas are rare tumors containing adipose tissue and normal hematopoietic cells that mainly occur in the adrenal cortex. Mediastinal myelolipomas are extremely rare. The three-dimensional, high-definition view with up to 10 times image magnification, 7 degrees of freedom of surgical instruments, and filtration of physiologic hand tremors with robotic systems are ideal for removing mediastinal tumors in a small space. Herein, we report a case of posterior mediastinal myelolipoma treated using robotic resection. CASE PRESENTATION: A 72-year-old man with an abnormal shadow on a chest roentgenogram was referred to our hospital. Computed tomography revealed extrapulmonary paravertebral lesions in the right posterior mediastinum. Despite the tumor's fragility, complete resection was achieved with robot-assisted thoracic surgery while preserving the lesion integrity. The tumor was diagnosed as a myelolipoma using histopathology of the resected section, and the patient was discharged with no complications on the fifth postoperative day. CLINICAL DISCUSSION: Mediastinal myelolipomas are fragile tumors with a thin capsule, consisting of adipose tissue and normal hematopoietic cells. Robot-assisted thoracic surgery is particularly effective for resecting posterior mediastinal tumors like myelolipomas that contain adipose components.
conclusionsWith delicate manipulation, robot-assisted thoracic surgery can be used to safely and completely resect fragile posterior mediastinal tumors, including myelolipomas.
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