Coldea Liliana, Pintea Alina Liliana, Stupariu Adrian LaurenŢiu, Roman-Filip Carmen Corina, Grosu Florin
Department of Neurology, "Victor Papilian" Faculty of Medicine, "Lucian Blaga" University of Sibiu, Romania;
Rom J Morphol Embryol. 2017;58(2):635-639.
Abdominal lipomas are benign mesenchymal tumors of mature fatty tissue that may appear at any age. We present the case of a 58-year-old patient with a cardiovascular pathology, who presented with diffuse abdominal pains, asthenia, anterior thorax pains and palpitations, abdomen increase, symptoms that had an insidious onset. The clinical and imagistic examinations suggested the diagnosis of giant abdominal lipoma. The surgical intervention allowed the excision of an encapsulated tumor, of 250÷220÷230 mm, relatively well encapsulated, with a macroscopic aspect of section adipose tissue, with hard whitish areas, with a 12.3 kg weight. The histopathological examination confirmed the diagnosis of lipofibroma.
腹部脂肪瘤是成熟脂肪组织的良性间叶性肿瘤,可出现在任何年龄。我们报告一例58岁患有心血管疾病的患者,该患者出现弥漫性腹痛、乏力、前胸疼痛和心悸,腹部增大,这些症状起病隐匿。临床和影像学检查提示诊断为巨大腹部脂肪瘤。手术切除了一个大小为250÷220÷230毫米的包膜完整的肿瘤,包膜相对完整,切面呈脂肪组织外观,有硬的白色区域,重12.3千克。组织病理学检查确诊为脂肪纤维瘤。