Tangthangtham A, Wongsangiem M, Supakul V, Subhannachart P
Department of Communicable Disease Control, Central Chest Hospital, Nonthaburi, Thailand.
J Med Assoc Thai. 1995 Aug;78(8):437-42.
Mediastinal pleomorphic lipoma was found in a 63-year-old Thai male who presented with problems of chronic cough, dyspnea and dysphagia for 1 year. CT and MRI studies revealed a well-circumscribed mass in the middle mediastinum. Thoracotomy was performed and excision of the tumor was done completely. The pathological features of the tumor were typical of pleomorphic lipoma. While lipomas are common tumors in the mediastinum, liposarcomas are rare and there has been no reported case of mediastinal pleomorphic lipoma before. Differential diagnosis of liposarcoma was very important in this case due to different clinical courses and prognoses.
一名63岁的泰国男性被发现患有纵隔多形性脂肪瘤，该患者有慢性咳嗽、呼吸困难和吞咽困难问题达1年之久。CT和MRI检查显示中纵隔有一个边界清晰的肿块。进行了开胸手术并完整切除了肿瘤。肿瘤的病理特征为典型的多形性脂肪瘤。虽然脂肪瘤是纵隔常见肿瘤，但脂肪肉瘤罕见，此前尚无纵隔多形性脂肪瘤的报道病例。由于临床病程和预后不同，在该病例中脂肪肉瘤的鉴别诊断非常重要。
