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Eur J Cardiothorac Surg 1999;16:249-250
© 1999 Elsevier Science NL

Images in cardio-thoracic surgery

Giant pleural lipoma

Pierre Corbi, Mourad Boufi, Guillaume Thierry, Paul Menu

Department of Cardiology and Cardio-Thoracic Surgery, University Hospital of Poitiers, CHU La Milètrie, 350 Avenue Jacques Coeur, B.P.577, 86021, Poitiers, France

Corresponding author. Tel.: +33-05-49-44-39-85; fax: +33-05-49-44-40-77
e-mail: p.corbi{at}chu.univers-poitiers.fr

1. Case description

A 63-year-old man was referred to our department for enormous left thoracic tumor discovered fortuitously after chest radio. Chest CT showed a left thoracic tumor (Fig. 1).



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  		Fig. 1. CT scan of the patient showing a giant tumor.

 
The patient was operated by left thoracotomy; a 19x16x10 cm tumor was easily and totally carried out (Fig. 2), after dissection and ligature of a pedicle inserted on the mediastinal pleura. Histology revealed a lipoma of the pleura.



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  		Fig. 2. Operative view of the tumor by postero-lateral thoracotomy.

 
Postoperative course was uneventful and the patient was discharged after 5 days with a normal chest X-ray. The size of this lipoma is unusual.

Received February 1, 1999; received in revised form April 12, 1999; accepted April 13, 1999.





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