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頁籤選單縮合
題名 | Endobronchial Lipoma: Report of a Case=氣管內脂肪瘤:病例報告 |
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作者 | 吳淑萍; 鄭旭萌; 許清寅; | 書刊名 | 胸腔醫學 |
卷期 | 13:4 1998.12[民87.12] |
頁次 | 頁241-244 |
分類號 | 415.426 |
關鍵詞 | 氣管內腫瘤; 脂肪瘤; 電腦斷層攝影; 氣管鏡; Endobronchial tumor; Lipoma; Computer tomography; Bronchoscope; |
語文 | 英文(English) |
中文摘要 | 脂肪瘤整體來說是最多的良性腫瘤,但氣管內脂肪瘤是非常罕見的。 我們在此報告一位患有胸部不適之53歲男性病患,電腦斷層攝影顯示支氣管內 有一含有脂肪之腫瘤,由於害怕是惡性腫瘤,所以病人仍接受手術治療。最後病 理報告確定為良性之氣管內腫瘤。如果能事前確定診斷,由於是良性的腫瘤,一 開始最好是內視鏡處理,對於長得很大或合併有肺組織破壞者,則必需考慮開刀 治療。雖然是罕見的腫瘤,但如在電腦斷層攝影發現不顯影之脂肪腫瘤的典型表 現,就可以確定診斷,以避免誤認為惡性腫瘤而進行如單側肺切除等大規模之手 術。 |
英文摘要 | Lipomas are the most common benign neoplasms, however, endobronchial lipomas are indeed rare. We present a case of a 53-year-old man who suffered from chest discomfort, CT scan showed an endobronchial tumor with lipid content but sugery was performed due to fear of malignancy. Final pathologic findings confirmed the diagnosis of benign endobronchial lipoma. In conditions when the definite diagnosis has been provided, endobronchial lipoma should be treated endoscopically due to its benign nature. Surgical resection has to be considered only in cases of large size or lung parenchymal damage. Although rare, the demonstration of nonenhancing fat tissue mass in CT study is considered diagnostic and major surgical intervention as in treatment of malignancy such as pneumonectomy should be avoided. |
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