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啸声脂肪瘤:脂肪瘤导致的支气管阻塞

Whistling Lipoma: Bronchial Obstruction Caused by a Lipoma.

作者信息

Azhar Waqas, Zaidi Fawwad, Hannan Abdul

机构信息

Hospital Medicine, Springfield Clinic, Springfield, USA.

Internal Medicine, Memorial Medical Center, Springfield, USA.

出版信息

Cureus. 2020 Mar 3;12(3):e7167. doi: 10.7759/cureus.7167.

Abstract

Lipomas are extremely common benign tumors that occur in a variety of locations. However, lipomas in the bronchus are exceptionally rare and account for a very small number of all bronchial tumors. Diagnosis of an endobronchial lipoma can be challenging at times, as they may present with overlapping symptoms of central airway obstruction, pneumonia, or dyspnea. We present an 82-year-old male with a 40-pack-year history of smoking who presented with recurrent pneumonia and signs of airway obstruction. Imaging studies showed an obstructive lesion. The biopsy sample revealed adipose cells. Eventually, the lesion was successfully resected. The surgical specimen ruled out malignancy and confirmed the diagnosis of lipoma. Timely identification and differentiating a malignant lesion from benign lesions, like lipoma, is crucial to management.

摘要

脂肪瘤是极其常见的良性肿瘤,可发生于多种部位。然而,支气管脂肪瘤极为罕见,在所有支气管肿瘤中所占比例极小。诊断支气管内脂肪瘤有时具有挑战性,因为它们可能表现出中央气道阻塞、肺炎或呼吸困难等重叠症状。我们报告一例82岁男性,有40年40包年的吸烟史,表现为反复肺炎和气道阻塞体征。影像学检查显示有阻塞性病变。活检样本显示有脂肪细胞。最终,病变被成功切除。手术标本排除了恶性肿瘤,确诊为脂肪瘤。及时识别并将恶性病变与脂肪瘤等良性病变区分开来,对于治疗至关重要。

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