Successful removal of the largest reported intrathoracic lipoma with bilateral extension: a case report

Background Unlike subcutaneous lipomas, thoracic cavity lipomas are extremely rare and can develop to be quite large without causing any symptoms. However, managing massive lipoma that involves both chest cavities is usually challenging, especially when considering the approach for excision. Case We...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2022-08, Vol.17 (1), p.1-192, Article 192
Main Authors: Rahman, S. M. Tajdit, Islam, Md. Faizul, Rasha, S. M. Zakirullah, Rahim, Abdur, Elora, Tania Binte Ghani, Razzaque, A. K. M
Format: Article
Language:English
Subjects:
Bilateral
Body fat
Case Report
Connective tissue tumors
Giant
Intrathoracic lipoma
Lipoma
Lungs
Magnetic resonance imaging
Median sternotomy
Ostomy
Spirometry
Thorax
Tomography
Tumors
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Summary:Background Unlike subcutaneous lipomas, thoracic cavity lipomas are extremely rare and can develop to be quite large without causing any symptoms. However, managing massive lipoma that involves both chest cavities is usually challenging, especially when considering the approach for excision. Case We report our experience of surgical management of a case of a 46-year-old male with huge intrathoracic lipoma that extends bilaterally and is known to be the largest of such kind. The tumor was resected successfully using median sternotomy. Histological analysis confirmed features of lipoma. Conclusion To remove a bilateral intrathoracic lipoma, various surgical approaches have been documented. In our experience, a median sternotomy allows better exposure, which aids in complete surgical extirpation resulting in the prevention of recurrence. Keywords: Lipoma, Intrathoracic lipoma, Giant, Bilateral, Median sternotomy, Case report
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-022-01954-z