De Abajo C, Morato A, Lázaro L, Gallo F, Pueyo A, Viejo J L
Sección de Neumología, Hospital General Yagúe, Burgos, España.
Rev Pneumol Clin. 1996;52(6):373-7.
We present 4 cases of endobronchial lipomas observed in our department over the last fifteen years. Histological diagnosis was obtained in all cases after endobronchoscopy and biopsy. Endobronchial exeresis was possible in one patient, lobectomy was required in a second. For the other two patients, surgery was not performed due to the patient's age and the small size of the tumor. Radiography, bronchoscopy and computed tomography findings suggested the diagnosis which was confirmed at pathology examination of the biopsy or surgical specimen. Treatment for endobronchial lipoma should be as conservative as possible either by endobronchial or laser resection. Thoracotomy should only be used when bronchial or pulmonary alterations are irreversible.
我们展示了过去15年在我们科室观察到的4例支气管内脂肪瘤病例。所有病例均在支气管镜检查和活检后获得组织学诊断。1例患者可行支气管内肿物切除术,第2例患者需要进行肺叶切除术。另外2例患者,由于患者年龄和肿瘤体积较小,未进行手术。影像学、支气管镜检查和计算机断层扫描结果提示了诊断,活检或手术标本的病理检查证实了该诊断。支气管内脂肪瘤的治疗应尽可能保守,可采用支气管内切除术或激光切除术。仅当支气管或肺部改变不可逆时才应进行开胸手术。