Zhu Chun-Mei, Chang Li, Ge Xiu-Shan, Yuan Xin-Yu, Cao Ling
Respirology Department, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
World J Pediatr. 2015 May;11(2):185-7. doi: 10.1007/s12519-015-0011-9. Epub 2015 Mar 9.
Intrapulmonary lipoma is extemely rare in children. So far, all reported pulmonary lipomas were from adult patients.
We present herein a case of intrapulmonary lipoma in a child and a review of the related literature.
A 13-month-old boy was hospitalized because of cough and fever. Chest CT showed patchy infiltration and round-shape, hypodense homogeneous lesions located in the lung. After 19 days of antibiotic treatment, his clinic symptoms disappeared, but the round lesions remained without any change. One month and one year later, he was examined by chest MRI with technique of fat suppression. The child was diagnosed as having an intrapulmonary lipoma without biopsy.
Intrapulmonary lipoma is rare in children. Chest CT and MRI are very important for the correct diagnosis of intrapulmonary lipoma.
儿童肺内脂肪瘤极为罕见。迄今为止，所有报道的肺脂肪瘤均来自成年患者。
本文报告一例儿童肺内脂肪瘤病例并对相关文献进行综述。
一名13个月大的男孩因咳嗽和发热入院。胸部CT显示肺部有斑片状浸润以及圆形、低密度均匀病变。经过19天的抗生素治疗，其临床症状消失，但圆形病变仍无变化。1个月和1年后，采用脂肪抑制技术对其进行胸部MRI检查。该患儿未经活检即被诊断为肺内脂肪瘤。
儿童肺内脂肪瘤罕见。胸部CT和MRI对肺内脂肪瘤的正确诊断非常重要。
