胸腺脂肪瘤4例诊治并文献复习  

The diagnosis and treatment of 4 cases with thymic lipoma and review of literature

作　　者：李福财[1] 金琼[1] 金妲[1] 杨文静[1] 吕建[1] 张熙曾[2] 

机构地区：[1]河北港口集团有限公司港口医院,河北秦皇岛066002 [2]天津医科大学附属天津肿瘤医院,天津300060

出　　处：《临床医药实践》2013年第3期177-179,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨胸腺脂肪瘤的诊断、治疗方法。方法:秦皇岛港口医院自1978年1月—2011年12月共收治胸腺脂肪瘤4例,其中男1例,女3例;年龄21～62岁;病程1个月～2年。术前影像学及临床诊断胸腺瘤2例,左上前纵隔及右下后纵隔良性各1例,其中右下后纵隔的胸腺脂肪瘤为极罕见的异位胸腺脂肪瘤。结果:3例取胸后外切口,1例取前胸外切口,但每例均有轻度粘连,均完整切除,术后均恢复良好,仅1例伤口感染,延迟愈合约10d。结论:胸腺脂肪瘤为良性肿瘤,罕见,易误诊。诊断主要依据脂肪组织和胸腺组织的情况。Objective ：To investigate the diagnosis and treatment of thymolipoma. Methods ：From January 1978 to December 2011,4 cases of thymolipoma were treated with resection in Qinhuangdao Port Hospital. There were 1 male and 3 females , 21- 62 years old. The course of thymolipoma was 1 month to 2 years. The diagnosis of preoperation were 2 thymomas and 2 benign tumors of ｜e^t and right mediastinum respectively. They were all misdiagnosed. Re- suits ： 3 cases of posterior thoracic incision, 1 case of anterior thoracic incision. All patients has mild adherence,were complete removal. All patients restore good. One case delayed cure of incision infection,lata healed 10 days. Conclusion ：Thymolipoma are benign tumors and are easily misdiagnosed. The main diagnosis depends on both adipose tissue and thymocytes.

关 键 词：胸腺脂肪瘤 诊断 治疗 

分 类 号：R734.5[医药卫生—肿瘤]