Alar Timuçin, Ozçelik Cemal, Kilnç Nihal
Çanakkale Onsekiz Mart University, Faculty of Medicine, Department of Thoracic Surgery and Çanakkale Onsekiz Mart University, Faculty of Medicine, Department of Pathology, Çanakkale, Turkey.
South Med J. 2011 May;104(5):353-4. doi: 10.1097/SMJ.0b013e3182142df6.
A 26-year-old man presented with shortness of breath on exertion that was gradually getting worse. His history revealed a mass in the left hemithorax that had been growing on follow-ups. Physical examination only showed that the respiratory sounds were fainter on the left. Thoracic computerized tomography was performed to elucidate the left hemithorax lesion seen on chest x-ray and a giant mass of lipid density extending from the anterior mediastinum to the diaphragm and filling almost the entire left hemithorax was observed. Total excision of the 25 × 21 × 8 cm mass weighing 1580 g was performed with a left thoracotomy. The histopathology investigation of the mass was reported as thymolipoma. The case was presented because it is a rare mediastinal mass.
一名26岁男性因劳力性呼吸困难就诊，症状逐渐加重。其病史显示左半胸有一肿块，在随访过程中不断增大。体格检查仅发现左侧呼吸音减弱。为明确胸部X线所见的左半胸病变，进行了胸部计算机断层扫描，结果发现一个巨大的脂质密度肿块，从前纵隔延伸至膈肌，几乎占据了整个左半胸。通过左胸开胸手术完整切除了这个大小为25×21×8 cm、重达1580 g的肿块。肿块的组织病理学检查报告为胸腺脂肪瘤。之所以呈现这个病例，是因为它是一种罕见的纵隔肿块。
