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Thoracoscopic enucleation for intrapulmonary lipoma: case report.
Yusuke Takahashi1, Toshiyuki Shima2, Masahiko Harada2
1Department of General Thoracic Surgery, Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan paddie@yahoo.co.jp.
Asian Cardiovascular & Thoracic Annals
|April 11, 2014
Summary
This study reports the first case of intrapulmonary lipoma, a benign lung tumor, successfully treated with minimally invasive thoracoscopic enucleation in a patient with a history of uterine cancer.
Area of Science:
- Thoracic surgery
- Pulmonology
- Surgical oncology
Background:
- Intrapulmonary lipomas are rare benign tumors of the lung.
- Diagnosis can be challenging, often requiring imaging and biopsy.
- Surgical resection is typically curative.
Observation:
- A 67-year-old woman presented with a nodular shadow on chest CT, suspicious for malignancy.
- The lesion appeared as a soft, yellow nodule during thoracoscopic exploration.
- The location was near the inferior pulmonary vein in the right lower lobe.
Findings:
- Histological examination confirmed the diagnosis of intrapulmonary lipoma.
- The tumor was successfully removed via thoracoscopic enucleation.
- This represents the first reported case of thoracoscopic enucleation for intrapulmonary lipoma.
Implications:
- Thoracoscopic enucleation is a feasible and effective minimally invasive approach for intrapulmonary lipoma.
- Early diagnosis and treatment can lead to favorable outcomes.
- This case expands the surgical options for rare lung tumors.

