支气管内唾液脂肪瘤。病例报告。
Endobronchial sialolipoma. Case report.
机构信息
Pathology Department, Manises Hospital, Synlab Iberia, Valencia, Spain.
FORESC (Foundation for Sciences and Research), Florida, USA.
出版信息
Diagn Pathol. 2021 Feb 21;16(1):15. doi: 10.1186/s13000-021-01074-7.
BACKGROUND
A 52-year-old woman presented with shortness of breath and cough. An endobronchial sialolipoma was found at the left entrance of the main bronchus. Sialolipoma is an exceedingly rare type of lipoma reported of the minor salivary glands, especially within the bronchus.
CASE PRESENTATION
A 52-year-old woman presented with shortness of breath and cough with 6 months´ evolution. Endobronchial endoscopy revealed a tumour at the left entrance of the main bronchus. The entire removal of the tumour was removed using a cryoprobe device. Pathological examination showed a tumour consistent with the diagnosis of sialolipoma due to the presence of mature adipose cells blended with acinar, ductal, basal, and myoepithelial cells. The patient had a favourable outcome.
CONCLUSION
The infrequent tracheobronchial presentation of this tumour can be challenging for correct diagnosis.
背景
一名 52 岁女性因呼吸急促和咳嗽就诊。在主支气管的左入口处发现了支气管涎脂瘤。涎脂瘤是一种非常罕见的脂肪瘤，主要发生在小唾液腺，尤其是在支气管内。
病例介绍
一名 52 岁女性因呼吸急促和咳嗽 6 个月就诊。支气管内镜检查显示主支气管左入口处有一个肿瘤。使用冷冻探针装置完整地切除了肿瘤。病理检查显示肿瘤符合涎脂瘤的诊断，因为存在成熟的脂肪细胞与腺泡、导管、基底和肌上皮细胞混合。患者预后良好。
结论
这种肿瘤在气管支气管的罕见表现可能会对正确诊断造成挑战。
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