Tesfaye Samuel, Abera Bethlehem, Bezabeh Abebe, Bezabih Yoseph Solomon, Tesfaye Workneh
Jimma University, Ethiopia; Addis Ababa University, Collage of Health Sciences, Ethiopia.
Addis Ababa University, Collage of Health Sciences, Ethiopia.
Int J Surg Case Rep. 2022 Sep;98:107565. doi: 10.1016/j.ijscr.2022.107565. Epub 2022 Sep 1.
Lipoma is a benign tumor that arises from adipose tissue; subcutaneous fat is the most common site. It is the most common soft tissue tumor in adulthood. They are usually curable with simple excision. They are slow growing and can rarely become cancerous. Lipomatosis is when there are multiple lipomas with different pedicles. Lipomas arising from the thoracic pleura are rare and intrathoracic lipomatosis is exceptionally rare. Here we report a case of huge lipomatosis removed from the right pleural cavity in a 65 years old man.
A 65 years old male from southern region of Ethiopia, presented with shortness of breath associated with chest pain, productive cough, easy fatigability, and dyspnea on exertion. On exams, he had dullness on chest percussion and absent air entry on the right hemichest on auscultation. He had a history of treatment for pulmonary tuberculosis seven years back. Chest CT showed huge lobulated heterogeneous mass in the right pleural space with significant mediastinal shift to the left. All the large and small masses were removed by a thoracotomy and the specimen was subjected to histopathology examination which revealed myxoid lipoma.
Lipoma is a benign tumor with no risk of malignant transformation. Intrathoracic lipoma is quite rare that we don't really find much reported cases.
Intrathoracic lipomatosis is a rare condition that progresses without symptoms until it reaches a big size, at which point compressive symptoms appear. The primary approach for both diagnostic and therapeutic purposes continues to be surgical resection.
脂肪瘤是一种起源于脂肪组织的良性肿瘤；皮下脂肪是最常见的发病部位。它是成年期最常见的软组织肿瘤。通常通过简单切除即可治愈。其生长缓慢，很少会恶变。脂肪瘤病是指存在多个具有不同蒂的脂肪瘤。起源于胸壁胸膜的脂肪瘤罕见，而胸腔内脂肪瘤病则极为罕见。在此，我们报告一例从一名65岁男性右胸腔切除的巨大脂肪瘤病病例。
一名来自埃塞俄比亚南部地区的65岁男性，出现呼吸急促并伴有胸痛、咳痰、易疲劳和活动时呼吸困难。检查时，胸部叩诊呈浊音，听诊右半侧胸部呼吸音消失。他有7年前患肺结核的治疗史。胸部CT显示右胸腔内有巨大的分叶状不均匀肿块，纵隔明显向左移位。通过开胸手术切除了所有大小肿块，并对标本进行了组织病理学检查，结果显示为黏液样脂肪瘤。
脂肪瘤是一种良性肿瘤，无恶变风险。胸腔内脂肪瘤非常罕见，我们确实很少发现有大量报道的病例。
胸腔内脂肪瘤病是一种罕见疾病，在其发展到较大尺寸出现压迫症状之前通常无症状。诊断和治疗的主要方法仍然是手术切除。
