First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management

Lipomas are the most common form of benign soft tissue tumors in humans, occurring infrequently in visceral organs. Pulmonary lipomas are seen rarely and can occur such as an endobronchial (80%) or peripheral parenchymal (20%) lesion. Less than 10 cases of lung peripheral lipoma are described in lit...

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Autores principales: Valente, Tullio, Bocchini, Giorgio, Rea, Gaetano, Paccone, Marianna, Vitale, Giuseppe, Sica, Giacomo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590547/
https://www.ncbi.nlm.nih.gov/pubmed/34790332
http://dx.doi.org/10.1055/s-0041-1735922
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author Valente, Tullio
Bocchini, Giorgio
Rea, Gaetano
Paccone, Marianna
Vitale, Giuseppe
Sica, Giacomo
author_facet Valente, Tullio
Bocchini, Giorgio
Rea, Gaetano
Paccone, Marianna
Vitale, Giuseppe
Sica, Giacomo
author_sort Valente, Tullio
collection PubMed
description Lipomas are the most common form of benign soft tissue tumors in humans, occurring infrequently in visceral organs. Pulmonary lipomas are seen rarely and can occur such as an endobronchial (80%) or peripheral parenchymal (20%) lesion. Less than 10 cases of lung peripheral lipoma are described in literature, none cavitated. We report the clinical case of a 51-year-old emphysematous smoker man with a peripheral intrapulmonary middle-lobe cavitating lipoma, revealed during a routine chest X-ray for emphysema, subsequently confirmed by high-resolution computed tomography (HRCT) and positron emission tomography (PET)–CT. Some hypotheses are made about the origin of cavitation. Biopsy and surgery were not done due to the fully benign nodular features at imaging. The nodule was unchanged till 2 years, last follow-up with low-dose HRCT. It is probably useful to choose a conservative approach with a follow-up, if there is a high suspicion of benignity.
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spelling pubmed-85905472021-11-16 First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management Valente, Tullio Bocchini, Giorgio Rea, Gaetano Paccone, Marianna Vitale, Giuseppe Sica, Giacomo Indian J Radiol Imaging Lipomas are the most common form of benign soft tissue tumors in humans, occurring infrequently in visceral organs. Pulmonary lipomas are seen rarely and can occur such as an endobronchial (80%) or peripheral parenchymal (20%) lesion. Less than 10 cases of lung peripheral lipoma are described in literature, none cavitated. We report the clinical case of a 51-year-old emphysematous smoker man with a peripheral intrapulmonary middle-lobe cavitating lipoma, revealed during a routine chest X-ray for emphysema, subsequently confirmed by high-resolution computed tomography (HRCT) and positron emission tomography (PET)–CT. Some hypotheses are made about the origin of cavitation. Biopsy and surgery were not done due to the fully benign nodular features at imaging. The nodule was unchanged till 2 years, last follow-up with low-dose HRCT. It is probably useful to choose a conservative approach with a follow-up, if there is a high suspicion of benignity. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-10-06 /pmc/articles/PMC8590547/ /pubmed/34790332 http://dx.doi.org/10.1055/s-0041-1735922 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Valente, Tullio
Bocchini, Giorgio
Rea, Gaetano
Paccone, Marianna
Vitale, Giuseppe
Sica, Giacomo
First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title_full First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title_fullStr First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title_full_unstemmed First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title_short First Computed Tomography Evidence of Pulmonary Cavitated Lipoma: Diagnosis and Management
title_sort first computed tomography evidence of pulmonary cavitated lipoma: diagnosis and management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590547/
https://www.ncbi.nlm.nih.gov/pubmed/34790332
http://dx.doi.org/10.1055/s-0041-1735922
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