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手术治疗右主支气管内脂肪瘤致气道阻塞:与病理相关的影像学特征。

Surgical treatment of an endobronchial lipoma obstructing the right upper bronchus: Imaging features with pathological correlation.

机构信息

Haiyong Wang, MD, Department of Cardiothoracic Surgery, Affiliated Hospital of Guilin Medical College, Guilin 541001, China.

Zhenzong Du, MD, Department of Cardiothoracic Surgery, Affiliated Hospital of Guilin Medical College, Guilin 541001, China.

出版信息

Pak J Med Sci. 2013 Nov;29(6):1447-9. doi: 10.12669/pjms.296.3708.

Abstract

Endobronchial lipomas are rare benign unusual tumors of the respiratory tract. We describe a 65-year-old Chinese man with a history of cough due to an endobronchial tumor. The endobronchial biopsy was not excisional and was unable to evaluate the whole tumor. Then the mass was successfully resected via a right lateral thoracotomy. The histopathological diagnosis confirmed a benign lipoma arising from the membranous trachea. His CT features and fiberoptic bronchoscopic findings are shown along with the pathological results. In describing the management of this case, we stress that the clinical treatment of such tumors should be individualized according to the characteristics of each patient and mass.

摘要

支气管脂肪瘤是呼吸道罕见的良性非典型肿瘤。我们描述了一名 65 岁的中国男性,因支气管内肿瘤而咳嗽。支气管内活检不是切除术,无法评估整个肿瘤。然后通过右外侧开胸术成功切除肿块。组织病理学诊断证实为起源于膜性气管的良性脂肪瘤。他的 CT 特征和纤维支气管镜检查结果以及病理结果一起显示。在描述这种情况的处理时,我们强调,对于此类肿瘤的临床治疗,应根据每个患者和肿块的特点进行个体化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69fb/3905392/d24522e54e53/pjms-29-1447-g001.jpg

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