Çocukta İntratorasik Ekstrapulmoner Dev Lipom Olgusu

Yıl 2022, Cilt: 5 Sayı: 3, 428 - 432, 31.12.2022

Arif Ateş , Hıdır Esme , Ferdane Melike Duran

https://doi.org/10.36516/jocass.1020257

Öz

5 yaşında erkek hasta, 4 yıl önce solunum yolu enfeksiyonu için başvurduğu çocuk acil servisinde çekilen direkt akciğer grafisinde üst mediastende genişleme saptanmış. Başka bir merkezde göğüs cerrahisi kliniği tarafından hasta 4 yıl boyunca takip edilmiş. Lezyonda progresif büyüme olması üzerine hasta kliniğimizde operasyona alındı. Total eksize edilen 10 cm boyutundaki lezyon, literatürde çocuklarda bu boyutta çok nadir görülen intratorasik ekstrapulmoner lipom olgusu olarak sunulmuştur.

Anahtar Kelimeler

Dev intratorasik lipom, Pediatrik hasta, Nadir olgu

A case of intrathoracic extrapulmonary giant lipoma in a child

Öz

5-year-old male patient was admitted to the pediatric emergency department for respiratory tract infection 4 years ago. Direct chest X-ray showed enlargement of the upper mediastinum. The patient was followed for 4 years by a thoracic surgery clinic in another center. Due to the progressive growth of the lesion, the patient was operated in our clinic. Totally excised 10 cm lesion was presented in the literature as a very rare case of intrathoracic extrapulmonary lipoma of this size in children.

Anahtar Kelimeler

Giant intrathoracic lipoma, pediatric patient, rare case

Kaynakça

• 1. Kafadar C, Öztürk E, Kara K, Sağlam M, Tutar S. Plevral Lipom: Olgu sunumu. Respiratory Case Report 2015;4(3):191-194 DOI: 10.5505
• 2. Weiss SW, Goldblum JR. Enzinger and Weiss’s Soft Tissue Tumors. 4th ed. St Louis: Mosby, 2001:571-639.
• 3. Politis J, Funahashi A, Gehlsen JA, DeCock D, Stengel BF, Choi H. Intrathoracic lipomas. Report of three cases and review of the literature with emphasis on endobronchial lipoma. J Thorac Cardiovasc Surg 1979; 77:550–6.
• 4. Faer MJ, Burnam RE, Beck CL: Transmural thoracic lipoma: demonstration by computed tomography, Am J Roentgenol 130: 160,1978.
• 5. Epler CR: Pleural lipoma: diagnosis by computed tomography, Chest 90: 265 268,1986.
• 6. Korstein MJ, de Blois GG. Pathology of the Thymu and Mediastinum. Philadelphia: WB aunders Company;1995:224.
• 7. Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ Jr. Fat-containing lesions of the chest. Radiographics 2002; 22:61–78.
• 8. Müller NL. Imaging of the pleura. Radiology 1993; 186: 297-309. [CrossRef]
• 9. Solsona-Norbon B, Sanchez-Paris O, Bernal-Sprekelsen JC, Puchades-Gil F, Garcia-Vilanova A, Monsalve-Perez J. Hourglass thoracic lipoma of infancy: case report and review of the literature. J Pediatric Surg 1997; 32:785–6.
• 10. Cutilis T, Schietroma M, Marcelli VA, et al. Giant cervicomediastinal lipoma.A clinical case. Minerva Stomatol 1999;48:23-8.
• 11. Beshay M, Schmid RA. Intrathoracic giant lipoma. Ann Thorac Surg 2004;78:1850