1/15. Two-stage operation for endobronchial lipoma and lung cancer using bronchoscopy and thoracoscopy in an elderly patient with chronic obstructive pulmonary disease.We present an 82-year-old man with chronic obstructive pulmonary disease with endobronchial lipoma, obstructing the right lower lobe bronchus, and lung adenocarcinoma in the peripheral lung of the right upper lobe (clinically T1N0M0). The endobronchial lipoma was thus first removed by bronchoscopic snaring forceps and laser therapy, resulting in an improvement of the pulmonary function. One month later, the lung adenocarcinoma was removed using thoracoscopy. The postoperative course was satisfactory, and the patient is now doing well without any tumor recurrence 11 months after surgery. For elderly chronic obstructive pulmonary disease patients with endobronchial lipoma and T1N0M0 lung cancer, a two-stage operation, consisting of bronchoscopic resection followed by a thoracoscopic resection for lung cancer, was found to be a safe and effective method of treatment while maintaining sufficient pulmonary function.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
2/15. Primary cardiac lipoblastoma.lipoblastoma is a benign adipose tumor in children that has been described in various anatomic locations, most commonly the extremities. We describe the case of a 17-month-old boy diagnosed with cardiac lipoblastoma, a previously unreported primary cardiac tumor in children. Our patient presented with symptoms of coughing, wheezing, and hoarseness and was found to have a large mediastinal mass, which narrowed the left mainstem bronchus and compressed the right atrium and superior vena cava, causing superior vena cava syndrome. Surgical exploration revealed an intrapericardial soft tissue mass arising from the area of the posterior interatrial septum. Grossly, the resected mass was lobulated, pale yellow, and fatty with focal areas of gray myxoid tissue. Microscopically, the tumor consisted of both immature and mature adipocytes, with focal vascular myxoid areas containing lipoblasts, diagnostic of lipoblastoma. Two months after surgery, the patient was in good health without evidence of recurrence.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
3/15. Endobronchial lipoma accompanied with primary lung cancer: report of a case.A 72-year-old man was found to have an endobronchial lipoma accompanied with primary lung cancer. A left lower lobectomy with a mediastinal lymph node dissection and a sleeve resection of the lingual bronchus with telescoping bronchial anastomosis were done. The pathological staging was T1N2M0, stage IIIA. A histological examination showed well-differentiated squamous cell carcinoma in segment 10, in addition to the presence of mature adipose tissue which was diagnosed to be a benign endobronchial lipoma originating from the lingual bronchus. The postoperative course was uneventful and the patient was discharged 13 days after the operation. However, he had a recurrence in the subcarinal lymph node, and died 8 months after surgery.- - - - - - - - - - ranking = 2keywords = bronchus (Clic here for more details about this article) |
4/15. Computed tomography diagnosis of post-obstructive atelectasis by an endobronchial lipoma.Endobronchial lipoma is a rare benign tumor in the bronchial tree. We report a case of endobronchial lipoma in a 73-year-old man with hemoptysis. Chest radiograph revealed atelectasis of the right upper lung. bronchoscopy revealed a well-defined endobronchial lesion in the right upper lobe bronchus with near total occlusion, but a biopsy was not performed. An endobronchial tumor was identified on CT scan with demonstration of fat within the tumor. Endobronchial lipoma was diagnosed and a sleeve lobectomy of the right upper lobe bronchus was performed. The pathological diagnosis was submucosal lipoma. The patient's symptoms improved during follow-up of more than 1 year. CT scan can be used to diagnose endobronchial lipoma and can help in the development of a management plan.- - - - - - - - - - ranking = 2keywords = bronchus (Clic here for more details about this article) |
5/15. Endobronchial lipoma: a case report.Endobronchial lipoma (EL) is a rare benign neoplasm that may cause irreversible pulmonary damage distally, and may be misdiagnosed clinically as a bronchial carcinoid or malignant tumor. They simulate malignant tumors, because of the age, sex and smoking history of the patients in whom they are found. Proper management is a "must" in order to avoid serious and unnecessary complications of the lung. We present a case of endobronchial lipoma, which is located in the right upper lobe bronchus, and diagnosed and treated by surgery.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
6/15. Spindle cell lipoma in an intramuscular lipoma.Intramuscular lipoma (IML) is a relatively common variant of lipomas. The most important sites for IML are the large muscles of the extremities. Spindle cell lipoma (SCL) is a rare and distinct variant of lipoma. Most SCL arise in the neck, shoulders or back. It has also been described in unusual sites, such as the oral cavity, larynx, bronchus, breast, orbit and extremities. However, localization of a SCL in an IML has not been described yet. Thus, we present the first SCL located in an IML, which was localized underneath the fascia and embedded within the left sartorius muscle of a 55-year-old man. Microscopically, the SCL component of the tumor was sharply circumscribed by a fibrous capsule and clearly separated from the IML in which it was localized. The collagen-forming spindle cells of the SCL showed neither atypia nor pleomorphism. These cells stained positive for CD34, while the mature fat tissue component of the SCL was positive for S-100 protein and negative for CD34. Spindle cells were negative for S-100 protein. vimentin stained both components of the SCL, as well as the striated muscle fibers and mature fat tissue of the IML. In conclusion, careful morphological observation along with immunohistochemistry for CD34 and S-100 protein are essential to differentiate this rare tumor from lesions that enter the differential diagnosis.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
7/15. Atypical lipoma of the lung.An unusual endobronchial lipoma characterised by pleomorphic, multinucleated giant cells admixed with mature adipose cells developed in a 52 year old woman, arising from the right middle lobe bronchus. Lobectomy was performed and the postoperative course was uneventful.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
8/15. Endobronchial lipoma: report of three cases.Endobronchial lipomas are rare, benign lesions that usually obstruct a major bronchus and cause irreversible pulmonary damage distally. Because of the age, sex and smoking history of the patients in whom they are found, they also simulate malignant tumours. The authors report three cases of endobronchial lipoma. Two of the patients had a long history of cough and respiratory symptoms, the third was asymptomatic. Two patients underwent lung resection and one was managed by local resection through a bronchotomy. The lipoma in all three patients was diagnosed preoperatively and treated successfully.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
9/15. Endoscopic removal of a bronchial lipoma with the neodymium-YAG laser.A 56-year-old man presented with right middle and lower lobe pneumonia with empyema. bronchoscopy and endobronchial biopsy revealed a lipoma in the bronchus intermedius. Removal of the lipoma was achieved with the neodymium-yttrium-aluminum-Garnet (Nd:YAG) laser through a fiberoptic bronchoscope. The present case represents the first report of endobronchial lipoma with the Nd:YAG laser in the united states.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
10/15. Endobronchial lipoma. A case report.An endobronchial lipoma of the right main bronchus causing obstructive pneumonitis and bronchiectasis in a 71-year-old White man is described. Tumourlets were also found in the fibrosed lung. Although the tumour is rare, it is of clinical importance because it can be treated successfully by local excision.- - - - - - - - - - ranking = 1keywords = bronchus (Clic here for more details about this article) |
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