Vagner E V, Bruns V A, Kubarikov A P
Khirurgiia (Mosk). 1993 Oct(10):88-91.
The authors treated 9 patients with intrathoracic adipose tumors of rare localization. In 4 cases the lipoma arose from the thoracic wall, in 2 directly from the mediastinum, and in another 2 from the pericardium. Lipoma of the lung and, 6 years later, liposarcoma of the diaphragm were removed in one patient. Tomography (3), bronchoscopy (2), diagnostic pneumothorax (5), thoracoscopy (3), and scanning of the thyroid gland (1) were performed to make a precise diagnosis. The nosological diagnosis was established in none of the patients, the topic diagnosis was most difficult in lipomas of organs. The diagnostic errors are analysed and the clinical pictures are described.
作者治疗了9例具有罕见定位的胸内脂肪肿瘤患者。4例脂肪瘤起源于胸壁，2例直接起源于纵隔，另有2例起源于心包。1例患者切除了肺脂肪瘤，6年后又切除了膈肌脂肪肉瘤。进行了断层扫描（3例）、支气管镜检查（2例）、诊断性气胸（5例）、胸腔镜检查（3例）和甲状腺扫描（1例）以做出准确诊断。所有患者均未确立疾病诊断，器官脂肪瘤的明确诊断最为困难。分析了诊断错误并描述了临床表现。
