Vyas S J, Pramesh C S, Sharma S, Deshpande R K
Department of Thoracic Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Ann Acad Med Singap. 2003 Nov;32(6):832-4.
Pericardial lipomas are rare clinical findings. We describe a case of pericardial/epicardial lipoma seen recently at our hospital.
A 68-year-old lady presented with a 1-year history of dull aching upper abdominal pain. A chest X-ray revealed a large mass lesion in the right hemithorax. Computed tomography (CT) scan of the chest defined the nature of the lesion. CT-guided fine needle aspiration cytology showed mature fat cells.
The large lipoma (19 x 10 x 4 cm, 1500 g) was completely excised along with a block of the parietal pericardium; through standard right posterolateral thoracotomy.
The patient had an uneventful postoperative recovery. She is currently asymptomatic and has no evidence of recurrence at 18 months follow-up.
Lipomas in the thoracic cavity are rare and pericardial lipomas even rarer. These are best identified on imaging studies including a CT scan. Complete surgical excision of the lipoma is the only mode of treatment and adequate surgery the only way to prevent future recurrences.
心包脂肪瘤是罕见的临床发现。我们描述了我院近期收治的一例心包/心外膜脂肪瘤病例。
一名68岁女性，有1年上腹部隐痛病史。胸部X线检查发现右半胸有一巨大肿块病变。胸部计算机断层扫描（CT）确定了病变性质。CT引导下细针穿刺细胞学检查显示为成熟脂肪细胞。
通过标准右后外侧开胸术，完整切除了巨大脂肪瘤（19×10×4cm，1500g）及部分壁层心包。
患者术后恢复顺利。目前无症状，18个月随访无复发迹象。
胸腔脂肪瘤罕见，心包脂肪瘤更为罕见。这些病变最好通过包括CT扫描在内的影像学检查来识别。脂肪瘤完整手术切除是唯一的治疗方式，充分的手术是预防未来复发的唯一方法。
