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DOI: 10.1055/s-2006-923940
© Georg Thieme Verlag KG Stuttgart · New York
Thymolipoma of the Anterior Mediastinum: Videothoracoscopic Removal Using a Bilateral Approach
Publikationsverlauf
Received November 7, 2005
Publikationsdatum:
07. September 2006 (online)

Abstract
Thymolipoma, a rare benign neoplasm of the anterior mediastinum, is often asymptomatic and as a result it can become quite large before it is diagnosed. CT is the most accurate diagnostic technique to identify the adipose tissue, but it often cannot make a differential diagnosis differentiating it from other anterior mediastinal masses; transthoracic biopsy also reveals the presence of fatty tissue, but a definitive diagnosis can only be achieved by means of surgical excision, which is also curative. We describe the case of a young woman who presented with a fatty neoplasm of the anterior mediastinum. The mass was removed using single-stage bilateral sequential videothoracoscopy. The histopathological diagnosis was thymolipoma.
Key words
Thymolipoma - mediastinum neoplasms - thymus neoplasms - videothoracoscopy - mediastinal tumor
References
- 1 Strollo D C, Rosado-de Christenson M L. Tumors of the thymus. J Thorac Imaging. 1999; 14 152-171
- 2 Roque C, Rodriguez P, Quintero C, Santana N, Hussein M, Freixinet J. Giant thymolipoma. Arch Bronconeumol. 2005; 41 402-403
- 3 Moran C A, Rosado-de-Christenson M L, Suster S. Thymolipoma: clinicopathologic review of 33 cases. Mod Pathol. 1995; 8 741-744
- 4 Rosado-de-Christenson M L, Pugatch R D, Moran C A, Galobardes J. Thymolipoma: analysis of 27 cases. Radiology. 1994; 193 121-126
- 5 Gregory A K, Connery C P, Resta-Flarer F, Davis J E, Semel L, Holgersen L O. A case of massive thymolipoma. J Pediatr Surg. 1977; 32 1780-1782
- 6 Shirkhoda A, Chasen M H, Eftekari F, Goldman A M, Decaro L F. MR imaging of mediastinal thymolipoma. J Comput Assist Tomogr. 1987; 11 364-365
- 7 Paci M, de Franco S, Cavazza A, Annessi V, Ferrari G, Falco F, Sgarbi G. Well-differentiated giant “lipoma-like” liposarcoma of the posterior mediastinum: a case report. Chir Ital. 2003; 55 101-104
- 8 Savitt M A, Gao G, Furnary A P, Swanson J, Gately H L, Handy J R. Application of robotic-assisted techniques to the surgical evaluation and treatment of the anterior mediastinum. Ann Thor Surg. 2005; 79 450-455
Dr. Massimiliano Paci
Chirurgia Toracica
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