Takahashi Yusuke, Shima Toshiyuki, Harada Masahiko, Horio Hirotoshi
Department of General Thoracic Surgery, Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan
Department of General Thoracic Surgery, Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan.
Asian Cardiovasc Thorac Ann. 2015 Mar;23(3):338-40. doi: 10.1177/0218492314531586. Epub 2014 Apr 9.
A 67-year-old woman with a history of uterine body cancer was admitted because of a nodular shadow in the right lower lobe on chest computed tomography. We planned thoracoscopic resection for diagnosis. Thoracoscopically, the tumor was seen through the visceral pleura as a round yellow nodule close to the inferior pulmonary vein, and it was soft on palpation with surgical forceps, which was consistent with intrapulmonary lipoma. We therefore performed thoracoscopic enucleation. Histological examination confirmed an intrapulmonary lipoma. We report the first case of intrapulmonary lipoma which was enucleated thoracoscopically.
一名67岁有子宫体癌病史的女性因胸部计算机断层扫描显示右下叶有结节状阴影而入院。我们计划进行胸腔镜切除术以明确诊断。在胸腔镜下,肿瘤透过脏层胸膜可见,为靠近肺下静脉的圆形黄色结节,用手术钳触诊时质地柔软,符合肺内脂肪瘤表现。因此我们进行了胸腔镜摘除术。组织学检查证实为肺内脂肪瘤。我们报告首例经胸腔镜摘除的肺内脂肪瘤病例。