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An Unusual Giant Subepicardial Lipoma: A Case Report

心外膜下之罕見巨型脂肪瘤:病例報告

摘要


Primary tumors of the heart are rare and mostly benign. We report a case of a 72- year-old woman presenting with progressive dyspnea on exertion and both leg edema for 7 months. Serial examinations with echocardiography and computed tomography identified a cardiac tumor located along the posterior aspect of the heart. Video assisted thoracoscopic surgery was performed and the pathology revealed a lipoma. The patient's postoperative recovery was uneventful. A video-assisted thoracoscopic procedure with minithoracotomy can provide information on the differential diagnosis and therapy of cardiac subepicardial lipomas.

並列摘要


心臟罕見原發性腫瘤,而多為良性。一名72歲的女性患者出現漸進性呼吸困難與雙腿水腫7個月,經心臟超音波檢查與電腦斷層掃描後發現位於心外膜處有腫瘤,利用電視輔助胸腔鏡手術進行切除;病理診斷為脂肪瘤,病人術後恢復順利。運用小切口胸腔鏡手術可提供心外膜脂肪瘤之診斷與治療。

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