Right Epipericardial Fat Necrosis After Thymectomy
| Autor: | Yohei Taniguchi, Osamu Honda, Takahiro Utsumi, Hiroshi Matsui, Natsumi Maru, Tomohito Saito, Tomohiro Murakawa, Mitsuaki Ishida, Haruaki Hino |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Thymoma business.industry medicine.medical_treatment Nodule (medicine) medicine.disease Malignancy Diaphragm (structural system) Thymectomy Median sternotomy medicine Surgery Fat necrosis Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Pathological |
| Zdroj: | The Annals of Thoracic Surgery. 113:e259-e261 |
| ISSN: | 0003-4975 |
| Popis: | A male patient in his sixties underwent median sternotomy and thymectomy for thymoma (WHO classification type B1+B3, Masaoka classification stage II). A 10-month follow-up postoperative computed tomography showed a 22-mm nodule in the anterior mediastinal lipid tissue just above the right diaphragm. The patient was followed for 8 years and the nodule's capsule eventually became calcified. Considering the possibility of postoperative recurrence of thymoma, we excised the nodule. The pathological diagnosis was epipericardial fat necrosis. In some cases, fat necrosis is difficult to distinguish from malignancy by imaging only; surgical resection has diagnostic significance and should be considered. |
| Databáze: | OpenAIRE |
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