Charfi M R, Ben Mami N, Khouani H, Bouhaouala H, Zbiba M, Belalgia M S
Hôpital des Forces de Sécurité Intérieure, La Marsa, Tunisie.
Rev Pneumol Clin. 1998 Sep;54(4):211-3.
Lipomas are rarely observed in a subpleural localization. Clinical signs are uncommon and most are an incidental discovery at x-ray. We report a case of an incidentally discovered lipoma in the subpleural area observed in a 56-year-old patient. Physical examination showed normal respiratory function. An extrapulmonary intrathoracic opacity situated in the right axillary area was observed on standard chest x-ray. Computed tomography established the diagnosis of a subpleural fatty mass. This case draws attention to this uncommon localization of lipomas and illustrates the contribution of computed tomography for diagnosis. The CT pattern allowed us to avoid transmural or surgical biopsy.
脂肪瘤很少出现在胸膜下部位。临床症状不常见,大多数是在胸部X光检查时偶然发现的。我们报告一例56岁患者胸膜下区域偶然发现的脂肪瘤病例。体格检查显示呼吸功能正常。标准胸部X光检查发现右腋窝区域有一个肺外胸腔内不透明影。计算机断层扫描确诊为胸膜下脂肪肿块。该病例引起了对脂肪瘤这种罕见部位的关注,并说明了计算机断层扫描在诊断中的作用。CT表现使我们避免了经壁活检或手术活检。