Wood J, Henderson R G
Radiology Department, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK.
Br J Radiol. 2004 Jan;77(913):60-2. doi: 10.1259/bjr/94129286.
Lipomas are common benign tumours, but intrathoracic lipomas are rare and peripheral lung lipomas exceptionally rare. Seven cases--all in men--have been described in the world literature, diagnosed after thoracotomy and excision. We report a case of a peripheral intrapulmonary lipoma in a woman presenting as an opacity on a routine chest radiograph. The CT characteristics and the finding of the same lesion on reviewing a barium enema film from 12 years earlier allowed a confident diagnosis, avoiding the need for surgical excision. This is the first reported case of peripheral lung lipoma in a woman and highlights the value of reviewing previous radiographs.
脂肪瘤是常见的良性肿瘤,但胸内脂肪瘤罕见,而周围型肺脂肪瘤则极为罕见。世界文献中已描述了7例病例——均为男性——均在开胸手术和切除后确诊。我们报告1例女性周围型肺内脂肪瘤病例,该病例在常规胸部X线片上表现为肺部阴影。CT特征以及回顾12年前的钡剂灌肠片发现相同病变,使得能够做出确切诊断,从而避免了手术切除的必要。这是首次报道的女性周围型肺脂肪瘤病例,凸显了回顾既往X线片的价值。