Computed tomography diagnosis of post-obstructive atelectasis by an endobronchial lipoma.
Endobronchial lipoma is a rare benign tumor in the bronchial tree. We report a case of endobronchial lipoma in a 73-year-old man with hemoptysis. Chest radiograph revealed atelectasis of the right upper lung. Bronchoscopy revealed a well-defined endobronchial lesion in the right upper lobe bronchus with near total occlusion, but a biopsy was not performed. An endobronchial tumor was identified on CT scan with demonstration of fat within the tumor. Endobronchial lipoma was diagnosed and a sleeve lobectomy of the right upper lobe bronchus was performed. The pathological diagnosis was submucosal lipoma. The patient's symptoms improved during follow-up of more than 1 year. CT scan can be used to diagnose endobronchial lipoma and can help in the development of a management plan.
Liu
Kao-Lang
KL
Department of Medical Imaging, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chang
Yeun-Chung
YC
Lee
Yung-Chie
YC
Chen
Shyh-Jye
SJ
Lee
Wen-Jeng
WJ
D000368:Aged; D001984:Bronchial Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed