Alawneh Khaled Z, Raffee Liqaa A, Alawneh Khaldoon M, Alawneh Husam, Aleshawi Abdelwahab
Department of Diagnostic Radiology and Nuclear Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Department of Accident and Emergency Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Am J Case Rep. 2020 Oct 11;21:e925174. doi: 10.12659/AJCR.925174.
BACKGROUND A lipoma is a benign tumor made of fat tissue. Diaphragmatic lipomas are frequently reported in case studies. CASE REPORT This study presents a case of diaphragmatic lipoma in a woman with rheumatoid arthritis who was complaining of shortness of breath. A literature review of previously reported diaphragmatic lipoma cases was also carried out. In our patient, normal vital signs were detected, and laboratory results showed that antinuclear antibody, complete blood count, erythrocyte sedimentation rate, and C-reactive protein levels were high. A high-resolution CT scan showed pulmonary nodules and an incidentally found diaphragmatic lipoma. The patient was prescribed corticosteroids, methotrexate, folic acid, and chloroquine. The 3-month follow-up visit revealed symptomatic improvements in breathing difficulties and joint attacks. CONCLUSIONS Diaphragmatic lipoma should be identified to avoid misdiagnosis. Most cases of lipoma require observation. Surgical treatment is indicated only if the mass is symptomatic, increasing in size, or of uncertain nature.
脂肪瘤是一种由脂肪组织构成的良性肿瘤。膈肌脂肪瘤在病例研究中常有报道。
本研究介绍了一例患有类风湿性关节炎且主诉呼吸急促的女性膈肌脂肪瘤病例。同时还对先前报道的膈肌脂肪瘤病例进行了文献综述。在我们的患者中，检测到生命体征正常，实验室结果显示抗核抗体、全血细胞计数、红细胞沉降率和C反应蛋白水平较高。高分辨率CT扫描显示肺部有结节以及偶然发现的膈肌脂肪瘤。该患者被处方使用皮质类固醇、甲氨蝶呤、叶酸和氯喹。3个月的随访显示呼吸困难和关节发作症状有所改善。
应识别膈肌脂肪瘤以避免误诊。大多数脂肪瘤病例需要观察。仅当肿块有症状、体积增大或性质不确定时才考虑手术治疗。
