Bao Shujun, Chen Yang, Zhong Caiming, Zhang Jing, Tang Hao
Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Department of Pathology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Discov Oncol. 2025 Jun 9;16(1):1042. doi: 10.1007/s12672-025-02856-x.
Endobronchial lipoma represents a rare, benign tumor that often lacks specific clinical manifestations during its initial stages, making it prone to misdiagnosis and oversight.
We reported a 76-year-old male patient, a long-term smoker, who was admitted to the hospital complaining of a persistent cough and expectoration lasting more than three months. A chest CT scan revealed the presence of a lipoma in the left main bronchus. The lipoma was successfully removed using electric snare resection under bronchoscopy and subsequently confirmed through pathological examination. Following the surgery, the patient experienced a substantial improvement in symptoms, with the cough and expectoration significantly reduced. Moreover, there was a notable enhancement in the local pulmonary tissue atelectasis within the left upper lobe of the lung compared to the preoperative condition.
This comprehensive case report and concurrent literature review can deepen our understanding of endobronchial lipoma and shed light on its clinical characteristics, imaging presentations, and effective treatments.
支气管内脂肪瘤是一种罕见的良性肿瘤,在其初始阶段通常缺乏特异性临床表现,容易导致误诊和漏诊。
我们报告了一名76岁男性患者,长期吸烟,因持续咳嗽、咳痰超过三个月入院。胸部CT扫描显示左主支气管存在脂肪瘤。通过支气管镜下电圈套切除术成功切除脂肪瘤,并随后经病理检查确诊。手术后,患者症状明显改善,咳嗽和咳痰显著减轻。此外,与术前相比,左上肺局部肺组织肺不张有明显改善。
本综合病例报告及同期文献复习可加深我们对支气管内脂肪瘤的理解,并阐明其临床特征、影像学表现及有效治疗方法。