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Massive thoracic lipoma: a case report.

Lee M Morris1, R Scott Thurston

  • 1Louisiana State University Health Science Center, Department of Surgery, New Orleans, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|June 17, 2011
PubMed
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A massive intrathoracic lipoma caused severe breathing difficulties in a 60-year-old woman. Surgical removal of the benign adipose tissue tumor, weighing over 2.5 kg, resolved her symptoms.

Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Diagnostic imaging

Background:

  • Intrathoracic lipomas are rare, benign tumors originating from adipose tissue within the chest cavity.
  • Large intrathoracic lipomas can cause significant cardiorespiratory compromise due to mass effect.

Observation:

  • A 60-year-old female patient presented with progressive dyspnea.
  • Imaging revealed a large left-sided intrathoracic mass (18 x 10 x 24 cm) causing lung compression and mediastinal shift.
  • Operative findings confirmed a massive, well-encapsulated intrathoracic lipoma.

Findings:

  • The resected intrathoracic lipoma weighed 2,556 grams.
  • Histopathological examination confirmed the mass was composed of benign adipose tissue.

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Implications:

  • Complete surgical resection is curative for symptomatic intrathoracic lipomas.
  • This case highlights the potential for massive growth of benign thoracic tumors.
  • Early diagnosis and intervention are crucial for managing symptomatic intrathoracic masses.