Pleural lipoma: report of a case

We report herein the unusual case of a 45-year-old Japanese man whose chest X-rays revealed an abnormal shadow, increasing in size. A chest wall tumor was suspected, based on the findings of computed tomography (CT) of the thorax, the CT number of which was -137, chest roentgenogram, and an echograp...

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Published inSurgery today (Tokyo, Japan) Vol. 24; no. 2; p. 173
Main Authors Takayama, T, Hirai, S, Ishihara, T, Kumazaki, S, Sano, K, Mishima, H, Ohta, M
Format Journal Article
LanguageEnglish
Published Japan 01.01.1994
Subjects
Humans
Lipoma - diagnosis
Lipoma - surgery
Male
Middle Aged
Pleural Neoplasms - diagnosis
Pleural Neoplasms - surgery
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Summary:We report herein the unusual case of a 45-year-old Japanese man whose chest X-rays revealed an abnormal shadow, increasing in size. A chest wall tumor was suspected, based on the findings of computed tomography (CT) of the thorax, the CT number of which was -137, chest roentgenogram, and an echograph. An open biopsy was performed to establish the final diagnosis. The resected tumor was a pedunculated pleural mass, yellowish in color, the pathological diagnosis of which confirmed a lipoma. Intrathoracic lipomas are rare, but pleural lipomas are seen even less frequently. CT, echography, and percutaneous needle biopsy have been found useful for diagnosing intrathoracic lipomas, but these examinations are not always adequate for confirming the final diagnosis. Consequently, tumor resection is essential for obtaining a pathological diagnosis.
ISSN:0941-1291
DOI:10.1007/BF02473404