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胸腺瘤起源于巨大胸腺脂肪瘤:一种罕见的胸腔内病变。

Thymoma originating in a giant thymolipoma: a rare intrathoracic lesion.

机构信息

Department of Imaging, Hospital AC Camargo, São Paulo, São Paulo, Brazil.

出版信息

Ann Thorac Surg. 2013 Sep;96(3):1083-5. doi: 10.1016/j.athoracsur.2013.01.031.

DOI:10.1016/j.athoracsur.2013.01.031
PMID:23992709
Abstract

Thymolipoma is a rare, slow-growing, benign tumor that arises from the anterior mediastinum and corresponds to 2% to 9% of all thymic neoplasms. We present the case of a 49-year-old man who had a large heterogeneous mass with areas of soft tissue and fat tissue located on the anterior mediastinum and right hemithorax. After resection, histologic analysis confirmed the diagnosis of a giant thymolipoma containing solid components that corresponded to thymomas B1, B2, and B3. We discuss the occurrence of an atypical variant of thymolipoma containing three types of thymomas inside.

摘要

胸腺瘤是一种罕见的、生长缓慢的良性肿瘤,起源于前纵隔,占所有胸腺肿瘤的 2%至 9%。我们报告了一例 49 岁男性患者,其前纵隔和右胸腔存在大的混杂性肿块,伴有软组织和脂肪组织区域。切除后,组织学分析证实诊断为含有实性成分的巨大胸脂肪瘤,这些实性成分对应胸腺瘤 B1、B2 和 B3。我们讨论了一种罕见的胸脂肪瘤的发生,其内包含三种类型的胸腺瘤。

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