Furukawa Taizo, Sakai Kohei, Higashi Mayumi, Fumino Shigehisa, Aoi Shigeyoshi, Tajiri Tatsuro
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Asian J Endosc Surg. 2019 Apr;12(2):218-221. doi: 10.1111/ases.12627. Epub 2018 Jul 2.
Thymolipoma is a rare disease among benign tumors. We herein report the case of a child who underwent thoracoscopic resection of a large thymolipoma. A 3-year-old boy was diagnosed with an anterior mediastinal solid tumor. Thoracic imaging revealed a fat density mass that was 8.0 × 5.0 × 3.5 cm in size. Given the MRI findings of the tumor, we suspected that the lesion was a teratoma. We decided to perform thoracoscopic exploration and, if possible, resection of the solid tumor sequentially. We successfully resected the tumor thoracoscopically. A histological examination revealed thymolipoma. For large mediastinal tumors in the intrathoracic space in children, the thoracoscopic approach is recommended when the tumor is preoperatively considered to be benign and resectable.
胸腺脂肪瘤是良性肿瘤中一种罕见的疾病。我们在此报告一例接受胸腔镜下大型胸腺脂肪瘤切除术的儿童病例。一名3岁男孩被诊断为前纵隔实性肿瘤。胸部影像学检查显示一个大小为8.0×5.0×3.5厘米的脂肪密度肿块。根据肿瘤的MRI表现，我们怀疑该病变为畸胎瘤。我们决定进行胸腔镜探查，并在可能的情况下依次切除实性肿瘤。我们成功地通过胸腔镜切除了肿瘤。组织学检查显示为胸腺脂肪瘤。对于儿童胸腔内的大型纵隔肿瘤，如果术前认为肿瘤是良性且可切除的，建议采用胸腔镜手术方法。
