Giant Fibrolipoma in the Mediastinum: An Unusual Case

Hsu, Jui Sheng; Kang, Wan Yi; Liu, Gin Chung; Kao, Eing Long; Chuang, Ming-Tsung; Chou, Shah Hwa

doi:10.1016/j.athoracsur.2005.05.061

Cited by 13 publications

(12 citation statements)

References 7 publications

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“…Lipomas or liposarcomas arising within the anterior mediastinum are quite uncommon tumors, constituting <2.5% of all primary mediastinal neoplasms. [ 1 , 7 , 8 ] These tumors usually grow slowly, insidiously and remain asymptomatic until reach a huge size. Most of the symptoms such as dyspnea and dysphagia are due to tumor extend into both chest cavities or compress the adjacent structures.…”

Section: Discussionmentioning

confidence: 99%

Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Chen

Chen²,

Li³

et al. 2018

Medicine

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Rationale:Surgical removal of a giant mediastinal lipoma or liposarcoma involving both chest cavities is always challenging.Patient concerns:We present 2 cases of giant mediastinal tumor, one of which was a 22-year-old female who was admitted to our hospital due to a mild dyspnea after running. Computed tomography (CT) scan revealed a large mass with low density occupying the entire right hemithorax and extending anteriorly into the left. The other patient was a 43-year-old male, who was presented to the hospital with complaints of gradually progressive dyspnea. CT scan revealed a mass comprised of fat density with areas of soft-tissue density in-between, involving in both chest cavities, draping around the heart and great vessels.Interventions:Both of the patients receive complete resection through a standard median sternotomy.Diagnoses:Histologic examination revealed lipoma for the first patient, and well differentiated liposarcoma for the second.Outcomes:Both of their symptoms were improved after surgery and the postoperative courses were good.Lessons:Our experience indicated that complete surgical removal through a standard median sternotomy is a safe and efficient approach for the treatment of giant mediastinal lipoma and liposarcoma.

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Section: Discussionmentioning

confidence: 99%

Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Chen

Chen²,

Li³

et al. 2018

Medicine

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“…3 There have been some reports of these growths in the oral cavity, parotid gland and esophagus, intestine, and other areas. [4][5][6][7][8][9] However, few reports have described the radiological findings of this tumor, especially in subcutaneous sites. 2 On MR images, the signal intensity of fatty and nonfatty tissues was characteristic on T1-weighted and T2-weighted images.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous fibrolipoma in the back

et al. 2006

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A 65-year-old man presented with a subcutaneous giant mass in his upper back. The tumor had a massive fatty and non-adipose component that enhanced heterogeneously on contrast-enhanced computed tomography and magnetic resonance imaging. Therefore, the lesion was initially thought to be a liposarcoma or spindle cell lipoma. After surgery, the tumor was histologically diagnosed as a fibrolipoma. Subcutaneous fibrolipoma is a rare neoplasm that is defined as a subtype of lipoma.

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“…Of these sarcomas, liposarcoma accounts for approximately 20%, and 13% of them originate from the retroperitoneum. A mediastinal liposarcoma is extremely rare1 2 and there are few report of the mediastinal extension from the retroperitoneal liposarcoma. This is the first case report of liposarcoma which extended from the retroperitoneum to the mediastinum.…”

Section: Discussionmentioning

confidence: 99%