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Asymptomatic giant mediastinal mass: a rare case of thymolipoma / Massa mediastinal gigante assintomática: um raro caso de timolipoma
Mourad, Omar Moté Abou; Andrade, Filipe Moreira de; Abrahão, Pedro; Monnerat, Andréa; Judice, Luiz Felippe.
  • Mourad, Omar Moté Abou; Fluminense Federal University. School of Medicine. Antonio Pedro University Hospital. Niterói. BR
  • Andrade, Filipe Moreira de; Fluminense Federal University. School of Medicine. Antonio Pedro University Hospital. Niterói. BR
  • Abrahão, Pedro; Fluminense Federal University. School of Medicine. Antonio Pedro University Hospital. Niterói. BR
  • Monnerat, Andréa; Fluminense Federal University. School of Medicine. Antonio Pedro University Hospital. Niterói. BR
  • Judice, Luiz Felippe; Fluminense Federal University. School of Medicine. Antonio Pedro University Hospital. Niterói. BR
J. bras. pneumol ; 35(10): 1049-1052, out. 2009. ilus
Article in English, Portuguese | LILACS | ID: lil-530497
ABSTRACT
Thymolipoma is a very rare benign neoplasm of the thymus. We present the case of a 42-year-old male with a massive mediastinal tumor discovered on a chest X-ray after a motorcycle accident. The patient had no complaints, and his physical examination was unremarkable. Chest CT scans revealed a lipomatous mass containing areas of soft tissue density. The patient was submitted to median sternotomy expanded to left anterolateral thoracotomy, resulting in the complete excision of the tumor. The pathological diagnosis was thymolipoma. Thymolipoma usually attains enormous dimensions by the time of diagnosis, and the occasional symptoms are related to compression of adjacent structures. Surgical resection is the treatment of choice and offers the only possibility of cure. The airway deserves special care during anesthesia induction.
RESUMO
Timolipoma é uma rara neoplasia benigna do timo. Apresentamos o caso de um paciente do sexo masculino de 42 anos de idade com um volumoso tumor mediastinal, descoberto após a realização de radiografia de tórax devido a um acidente motociclístico. Não apresentava queixas e ao exame físico não havia particularidades. A TC de tórax revelava uma massa lipomatosa entremeada por tecido com densidade de partes moles. O paciente foi submetido a uma esternotomia mediana com extensão para toracotomia ântero-lateral esquerda, permitindo a exérese completa do tumor. O diagnóstico histopatológico foi de timolipoma. O timolipoma geralmente atinge grandes dimensões na época do diagnóstico, sendo os ocasionais sintomas relacionados à compressão de estruturas adjacentes. A ressecção cirúrgica é o tratamento de escolha e a única possibilidade de cura. A via aérea merece atenção especial durante a indução anestésica.
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Full text: Available Index: LILACS (Americas) Main subject: Thymus Neoplasms / Lipoma / Mediastinal Neoplasms Limits: Adult / Humans / Male Language: English / Portuguese Journal: J. bras. pneumol Journal subject: Pulmonary Disease (Specialty) Year: 2009 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fluminense Federal University/BR

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Full text: Available Index: LILACS (Americas) Main subject: Thymus Neoplasms / Lipoma / Mediastinal Neoplasms Limits: Adult / Humans / Male Language: English / Portuguese Journal: J. bras. pneumol Journal subject: Pulmonary Disease (Specialty) Year: 2009 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fluminense Federal University/BR