Ferrari G, Paci M, Sgarbi G
Division of Thoracic Surgery, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
Thorac Cardiovasc Surg. 2006 Sep;54(6):435-7. doi: 10.1055/s-2006-923940.
Thymolipoma, a rare benign neoplasm of the anterior mediastinum, is often asymptomatic and as a result it can become quite large before it is diagnosed. CT is the most accurate diagnostic technique to identify the adipose tissue, but it often cannot make a differential diagnosis differentiating it from other anterior mediastinal masses; transthoracic biopsy also reveals the presence of fatty tissue, but a definitive diagnosis can only be achieved by means of surgical excision, which is also curative. We describe the case of a young woman who presented with a fatty neoplasm of the anterior mediastinum. The mass was removed using single-stage bilateral sequential videothoracoscopy. The histopathological diagnosis was thymolipoma.
胸腺脂肪瘤是前纵隔一种罕见的良性肿瘤，通常无症状，因此在确诊前可能会长得相当大。CT是识别脂肪组织最准确的诊断技术，但它常常无法与其他前纵隔肿块进行鉴别诊断；经胸活检也显示有脂肪组织存在，但只有通过手术切除才能做出明确诊断，而手术切除也是治愈性的。我们描述了一位年轻女性患有前纵隔脂肪性肿瘤的病例。该肿块通过单阶段双侧序贯电视胸腔镜手术切除。组织病理学诊断为胸腺脂肪瘤。
