Spinal Lipoma Presenting as a Mediastinal Mass

Abstract
Spinal lipomas account for less than 1% of all spinal tumors. Prior to the advent of computed tomography, the preoperative diagnosis could only he suggested on the basis of nonspecific clinical and radiographic findings. We report a case of an unusual spinal lipoma that presented as a mediastinal mass. The low attenuation values of the tumor allowed a preoperative diagnosis. Computed tomography with metrizamide should serve as the first diagnostic-procedure for evaluation of spinal lipomas.

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