Computed tomography and sonography of thymolipoma

Yeh, HC; Gordon, Andrew C.; Pa, Kirschner; Cohen, Burton A.

doi:10.2214/ajr.140.6.1131

Cited by 43 publications

(18 citation statements)

References 2 publications

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“…However, CT scan cannot distinguish thymomas from other thymic masses, unless fat is visible. CT scan may show the islands of soft tissue density within the mass representing the thymic tissue which are not seen in benign lipoma [10]. In the present series CT scan could not diagnose thymolipoma as the thymic tissue could not be identified.…”

Section: Discussioncontrasting

confidence: 68%

Extramediastinal thymolipomas—challenges in diagnosis and dilemmas in approaches: a review

Mishra

Mohite

Bal

et al. 2010

Indian J Thorac Cardiovasc Surg

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Objectives Thymolipomas are rare tumors, usually located in the anterior mediastinum and may extend into the chest cavity. But the thymolipomas presenting solely in the chest cavity without demonstrable mediastinal mass are extremely rare. They can be termed as extramediastinal thymolipomas and they present as diagnostic and technical challenge for surgeons. Methods We conducted a retrospective review of the pathologically proven 5 cases of thymolipomas which presented as chest cavity mass without mediastinal connection who had undergone surgical resection during last 10 years (1999 to 2008). Results There were four women and one man with a mean age of 38.75 years. Four had unilateral and one had bilateral chest cavity tumors. Mediastinal connection of the chest cavity tumor was established in two cases by Computed Tomography (CT) scan while in one case by Magnetic Resonance Imaging (MRI). CT guided Fine Needle Aspiration Cytology was suggestive of lipoma in all five cases. In cases with established mediastinal connection, median sternotomy was done to evacuate chest cavity tumor and thymus. Mediastinal connection was noted during surgery in two cases approached through the posterolateral thoracotomy, in which complete excision of the thymus was achieved through the same incision. Conclusions Median sternotomy approach is best in cases of biopsy proven thymolipoma irrespective of mediastinal extension demonstrated by imaging study and complete excision of the thymus should be ensured. If complete excision of thymus is not possible through thoracotomy approach on finding mediastinal extension intraoperatively, there should not be any hesitation for converting to the median sternotomy.

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Section: Discussioncontrasting

confidence: 68%

Extramediastinal thymolipomas—challenges in diagnosis and dilemmas in approaches: a review

Mishra

Mohite

Bal

et al. 2010

Indian J Thorac Cardiovasc Surg

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“…Most are discovered incidentally 12 . Symptoms include dyspnoea, cough, chest pain, hoarseness and cyanosis 3,9,13 . Thymolipoma may be rarely associated with myasthenia gravis 9,13 .…”

Section: Discussionmentioning

confidence: 99%

Mediastinal thymolipoma: An analysis of 10 cases

Damadoğlu¹,

Saltürk²,

Takır³

et al. 2007

Respirology

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Thymolipoma is a benign tumour composed of thymic elements and adipose tissue. It may be associated with myasthenia gravis or immune disorders. We aimed to evaluate the clinical and radiological features of thymolipoma. The clinical data from 10 cases of thymolipoma, diagnosed at our centre between 2002 and 2004, were analysed retrospectively. There were six female and four male patients, whose ages ranged from 16 to 67 years, with a mean age of 34.1 years. All but two patients had pulmonary or extrapulmonary symptoms. Five patients also had myasthenia gravis. All thymolipomas were localized in the anterior superior mediastinum. The surgical approach was sternotomy in nine cases and thoracotomy in one case. Thymectomy was performed on all patients. Thymolipomas are unusual tumours and may be associated with myasthenia gravis. Surgical resection is the most appropriate treatment modality.

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“…[8] These tumors are often confused with cardiomegaly in a simple x-ray, as happened in our case. [9] Although diagnosis can be established by imaging, to differentiate thymolipoma from lipoma, thymic hyperplasia, and liposarcoma; a biopsy might be needed to confirm the histology of the tumor. The only curative treatment for this benign tumor with excellent prognosis is surgical resection of the tumor.…”

Section: Discussionmentioning

confidence: 99%

A rare case report of thymolipoma in a 4-year-old child

Warpe¹

2014

IOSRJDMS

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Computed tomography and sonography of thymolipoma

Cited by 43 publications

References 2 publications

Extramediastinal thymolipomas—challenges in diagnosis and dilemmas in approaches: a review

Extramediastinal thymolipomas—challenges in diagnosis and dilemmas in approaches: a review

Mediastinal thymolipoma: An analysis of 10 cases

A rare case report of thymolipoma in a 4-year-old child

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