Current Thoracic Surgery 2020 , Vol 5 , Issue 3
Atypical uniportal thoracoscopic resection of a giant thymolipoma
Hakkı Ulutaş1,Muhammet Reha Çelik1,Ayşenur Akatlı2,Mehmet Ağar1,İlham Gülçek1,Emine Şamdancı2,Erdal İn3
1Department of Thoracic Surgery, Faculty of Medicine, University of Inonu, Malatya, Turkey
2Department of Pathology, Faculty of Medicine, University of Inonu, Malatya, Turkey
3Department of Pulmonology, Faculty of Medicine, University of Fırat, Elazıg, Turkey
DOI : 10.26663/cts.2020.00027 Viewed : 307 - Downloaded : 102 Thymolipoma is a rare, slow-growing, benign anterior mediastinal tumor consisting of mature adipose tissue and thymic tissue. Herein we describe the case of a completely excised giant thymolipoma with uniportal video-assisted thoracoscopic surgery, which was detected incidentally on chest X-ray, with the review of the literature. A 30-year-old male patient was hospitalized to the department of general surgery with the diagnosis of appendicitis. Preoperative chest x-ray revealed mediastinal enlargement extending to the diaphragm at right paracardiac area where cardiac contours were erased and cardiomegaly-like appearance was observed. In the contrast-enhanced computed tomography of the chest, a massive mass of soft tissue was detected in fat density. The mediastinal lesion was completely excised with uniportal VATS. Histopathologically, the tumor was reported to be thymolipoma. Thymolipoma it should be totally removed with VATS surgery for both diagnosis and treatment. Keywords : thymolipoma, uniportal VATS, mediastinal mass, giant