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Procedures: Bronchology |

Bronchial Lipoma

Yuan Qing, MMSc
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Shanghai Tenth People’s Hospital Tongji University, Shanghai, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A424. doi:10.1016/j.chest.2016.02.442
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SESSION TITLE: Bronchology

SESSION TYPE: Case Report Slide

PRESENTED ON: Sunday, April 17, 2016 at 02:15 PM - 03:45 PM

INTRODUCTION: Bronchial lipoma is a very rare benign tumor. By the bronchoscope interventional surgery one case was diagnosed in our hospital.

CASE PRESENTATION: The patient was a 54-year-old man, ex-smoker for 30 years (90 pack-years). He had symptoms of cough, expectoration and fever for 3 months. Chest computed tomographic (CT) scan and 3D reconstruction of the trachea revealed a nodular lesion including a homogeneous fat density area, accompanied with obstructive change in the left upper lung field. The CT value of Mass is - 100 Hu. Rigid bronchoscopy revealed it to be a well-circumscribed, rounded, yellowish tumour that almost completely obstructed the entrance to the left upper lobe (figure 4). Bronchoscopic biopsy specimens showed fiber granulation and adipose tissue, with part of tumor surface coating bronchial epithelium and inflammatory cells. Pathological diagnosis was a lipoma (figure 5). Under general anesthesia residual tumor was resected via rigid bronchoscopy frozen, high-frequency electric coagulation trap electric cut, argon plasma coagulation (APC) intervention treatment; and surrounding mucosa was handled by congelation.

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