Zidane Abdelfettah, Atoini Fouad, Arsalane Adil, Traibi Akram, Hammoumi Massime, Ouariachi Fayçal, Oukabli Mohamed, Kabiri El Hassane
Department of Thoracic Surgery, Mohamed V Military Hospital of Instruction, Rabat, Morocco.
Gen Thorac Cardiovasc Surg. 2011 May;59(5):363-6. doi: 10.1007/s11748-010-0650-7. Epub 2011 May 6.
Lipoma is a common benign tumor of soft tissues in adults. An intrathoracic location, particularly in the parietal pleura, is rare. We report two cases of pleural parietal lipoma with a review of literature. A preoperative diagnosis was established histologically by fine-needle aspiration in the first case and radiologically by computed tomography scan in the second. Both patients underwent surgical excision via thoracotomy and video-assisted thoracic surgery. Pathology examination confirmed the diagnosis of lipoma. The authors emphasize the necessity of surgical resection because of preoperative diagnostic difficulty of discerning lipoma from well-differentiated liposarcoma.
脂肪瘤是成人常见的软组织良性肿瘤。胸腔内脂肪瘤，尤其是位于壁层胸膜者较为罕见。我们报告两例壁层胸膜脂肪瘤并复习相关文献。第一例术前通过细针穿刺进行组织学诊断，第二例通过计算机断层扫描进行影像学诊断。两名患者均接受了开胸手术和电视辅助胸腔镜手术切除。病理检查确诊为脂肪瘤。作者强调手术切除的必要性，因为术前鉴别脂肪瘤与高分化脂肪肉瘤存在诊断困难。
