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Ann Thorac Surg 2004;78:1850
© 2004 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

Intrathoracic Giant Lipoma

Morris Beshay, MDa, Ralph A. Schmid, MDa,*

a Division of General Thoracic Surgery, University Hospital, Berne, Switzerland

* Address reprint requests to Dr Schmid, Division of General Thoracic Surgery, University Hospital, 3010 Berne, Switzerland
ralph.schmid{at}insel.ch

A 57-year-old woman presented with a large intrathoracic tumor on the right side. The patient was completely asymptomatic. A routine chest roentgenogram for an unrelated medical problem showed progression of the tumor after a few years of observation (Fig 1, arrow). Thoracic computed tomography scan revealed the homogeneous lesion with compression of the right lower lobe of the lung. Magnetic resonance imaging (MRI) of the chest confirmed these findings and illustrated the pyramidal form of the tumor with very sharp borders and the density of fatty tissue (Fig 2, arrow). The double-headed arrow shows the thickness of the thoracic wall. Anterolateral thoracotomy was performed. The lipoma of almost 1.5 kg was attached with its pedicle to the ventral pericardium next to the right phrenic nerve. It was easily removed after ligation of its pedicle. The histologic examination indicated no presence of sarcomatous changes. The patient was discharged on the fifth postoperative day in an excellent general condition.



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