Hirai Shinji, Hamanaka Yoshiharu, Mitsui Norimasa, Kumagai Hajime, Kobayashi Taira
Department of Thoracic Surgery, Hiroshima Prefecture Hospital, 1-5-54 Ujinakanda, Minami-ku, Hiroshima 734-8530, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Jan;50(1):40-2. doi: 10.1007/BF02913486.
A 48-year-old woman with an abnormal shadow in chest radiography during an annual physical examination was found by chest computed tomography to have a large fatty mass lesion found to be diagnosed as a gigantic lipoma. Histopathological diagnosis was found to be benign thymolipoma consisting of mature fatty tissue and hyperplastic thymic tissue structures with Hassall,s corpuscles. Although the diagnosis is supported by imaging studies that demonstrate fat and soft tissue within the tumor, variations occur in computed tomography appearance. We suggest that surgical excision be considered when a gigantic intrathoracic lipomatous mass is in scanning as in this case.
一名48岁女性在年度体检时胸部X光检查发现异常阴影,胸部计算机断层扫描发现有一个巨大的脂肪肿块病变,诊断为巨大脂肪瘤。组织病理学诊断为良性胸脂肪瘤,由成熟脂肪组织和具有哈氏小体的增生胸腺组织结构组成。尽管影像学研究显示肿瘤内有脂肪和软组织支持该诊断,但计算机断层扫描表现存在差异。我们建议,如本例中扫描发现巨大的胸内脂肪瘤性肿块时,应考虑手术切除。