Resumo
Thymolipoma is a rare benign tumor of the thymus. Because of its large size and pliability the mass usually drapes itself around the heart, conforming to its borders and producing a large radiographic shadow easily mistaken as cardiomegaly. This report describes a 48-year-old man with a chest radiograph strongly suggestive of cardiomegaly. Careful radiological study showed the existence of a large mass in the anterior mediastinum, simulating cardiomegaly. A thymolipoma weighing 2500g was resected through an esternotomy.
Cardiomegaly; Thymolipoma; Mediastinal mass
Cardiomegaly; Thymolipoma; Mediastinal mass
RELATOS DE CASOS
Timolipoma simulando cardiomegalia
Thymolipoma simulating cardiomegaly
Vitório Moscon Puntel, TCBC-RJI; Luiz Mauro F. VasconcelosII; Pedro FalcãoIII
ICirurgião de Tórax do HSC/Fundação CSN. Especialista em Cirurgia Torácica pela Sociedade Brasileira de Cirurgia Torácica. Mestrando em Cirurgia Torácica pela UFRJ. Professor Assistente de Anatomia Humana da Escola de Ciências Médicas de Volta Redonda
IICardiologista do HSC/Fundação CSN. Professor Assistente de Diagnóstico Clínico da Escola de Ciências Médicas de Volta Redonda
IIIPatologista do HSC/Fundação CSN. Professor Titular de Anatomia Patológica da Escola de Ciências Médicas de Volta Redonda
Endereço para correspondência Endereço para correspondência: Dr. Vitório Moscon Puntel Rua Madame Curie, 284 27283-700 - Volta Redonda RJ E-mail: puntel@uol.com.br
ABSTRACT
Thymolipoma is a rare benign tumor of the thymus. Because of its large size and pliability the mass usually drapes itself around the heart, conforming to its borders and producing a large radiographic shadow easily mistaken as cardiomegaly. This report describes a 48-year-old man with a chest radiograph strongly suggestive of cardiomegaly. Careful radiological study showed the existence of a large mass in the anterior mediastinum, simulating cardiomegaly. A thymolipoma weighing 2500g was resected through an esternotomy.
Key words: Cardiomegaly; Thymolipoma; Mediastinal mass.
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REFERÊNCIAS
1. Almog CH, Weissberg D, Herczeg E, Pajewski M. Thymolipoma simulating cardiomegaly: a clinicopathological rarity. Thorax 1977;32:116-120.
2. Yeh HC, Gordon A, Kirschner PA, Cohen BA. Computed tomography and sonography of thymolipoma. AJR 1983;140:1131-3.
3. Marc¢hadour FL, Pinel N, Pasquier B, et al.Thymolipoma in association with myasthenia gravis. The American J of Surg Patol 1991;15:802-9.
4. Rosado-de-Christenson ML, Pugatch RD, Moran CA, et al. Thymolipoma: Analysis of 27 cases. Radiology 1994; 193:121-6.
5. Caruso ES. Giant thymolipoma of the mediastinum. S Am J Thorac Surg 1997;1:42-44.
Recebido em 3/7/98
Aceito para publicação em 25/10/99
Trabalho realizado no Serviço de Cirurgia Torácica do Hospital Santa Cecília/Fundação CSN - Volta Redonda - RJ.
- 1. Almog CH, Weissberg D, Herczeg E, Pajewski M. Thymolipoma simulating cardiomegaly: a clinicopathological rarity. Thorax 1977;32:116-120.
- 2. Yeh HC, Gordon A, Kirschner PA, Cohen BA. Computed tomography and sonography of thymolipoma. AJR 1983;140:1131-3.
- 3. Marc˘hadour FL, Pinel N, Pasquier B, et al.Thymolipoma in association with myasthenia gravis. The American J of Surg Patol 1991;15:802-9.
- 4. Rosado-de-Christenson ML, Pugatch RD, Moran CA, et al. Thymolipoma: Analysis of 27 cases. Radiology 1994; 193:121-6.
- 5. Caruso ES. Giant thymolipoma of the mediastinum. S Am J Thorac Surg 1997;1:42-44.
Datas de Publicação
-
Publicação nesta coleção
31 Jul 2009 -
Data do Fascículo
Fev 2000
Histórico
-
Aceito
25 Out 1999 -
Recebido
03 Jul 1998
