Pleural lipoma: when to intervene

Malik, Bilal Haider; Abdelazeem, Basel; Ghatol, Abhijeet

doi:10.1136/bcr-2021-243175

Cited by 1 publication

(4 citation statements)

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“…Considering their slow growth and benign nature, these tumors become symptomatic when they reach a significant size and cause mass effect [5]. In our case, because of its apical location, it manifested with shoulder pain owing to the possible compression effect on the brachial plexus.…”

Section: Discussionmentioning

confidence: 70%

“…The management of pleural lipoma depends on its size and clinical findings [5]. In our case, given the large size and the symptomatic nature of the tumor, surgical resection was performed.…”

Section: Discussionmentioning

confidence: 92%

“…Pleural lipoma is often detected incidentally on plain chest radiographs. However, a CT scan is the method of choice to provide a detailed assessment of the lesion and surgical planning [5]. The mass lesion typically has homogeneous fat attenuation [4].…”

Section: Discussionmentioning

confidence: 99%

“…In our case, given the large size and the symptomatic nature of the tumor, surgical resection was performed. For small pleural lipomas, clinical observation with serial plain radiographs may be advised [5]. The surgical resection can be performed by conventional open thoracotomy or by video-assisted thoracoscopy [4].…”

Section: Discussionmentioning

confidence: 99%

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Large Pleural Lipoma Manifesting With Chronic Shoulder Pain

Alotaibi¹,

Albaqami²,

Almushayqih³

et al. 2022

Cureus

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Musculoskeletal symptoms related to orthopedic conditions are highly prevalent worldwide and are a leading cause of morbidity. However, non-orthopedic conditions may also present with musculoskeletal symptoms. For example, shoulder pain may be caused by gastrointestinal, hepatobiliary, cardiac, and neurological pathologies. We report the case of a 32-year-old man who presented to the orthopedic clinic with a complaint of left shoulder pain for the past three months. He described the pain as sharp in nature. The pain was constant and was not related to the shoulder movements. It was not associated with morning stiffness. He had no history of preceding trauma. On examination, both shoulders were symmetrical with no evidence of deformities. Palpation over the shoulder region did not elicit any tenderness. The range of motion in both the active and passive movements was intact. The Neer and Jobe tests were negative. Also, the sensory examination was intact, and laboratory findings were normal. The patient underwent a plain frontal radiograph of the chest, which revealed a large well-circumscribed lobulated mass lesion in the left hemithorax, arising from the pleural lining. A thoracic CT scan was then performed to provide further characterization of the mass lesion and it re-demonstrated the mass as having homogeneous fatattenuation with thin septations, probably representing pleural lipoma. The tumor was successfully resected via open thoracotomy. The patient's symptoms resolved and he had no recurrence after one year of followup. Pleural lipoma is a very rare benign mesenchymal tumor. The case highlights the importance of considering non-orthopedic conditions in the differential diagnosis of shoulder pain in patients with normal physical examination findings. A CT scan is vital to make the diagnosis and can show the accurate anatomic relations with respect to the tumor for surgical planning.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 92%