Large Intra -Thoracic Thymolipoma

Misauq Mazcuri, Pratikshya Thapaliya,Tanveer Ahmad, Ambreen Abid, Shagufta Nasreen, Nazish Sikander

Abstract

Thymolipomas are rare benign anterior mediastinal tumors. They grow to a significant size before becoming symptomatic. They are encapsulated and consist of mostly fat with interspersed thymic tissue. We operated a 45 year old man, with a BMI of 27, who presented with dyspnea on exertion. Examination revealed absent breath sounds on the left side. Radiology revealed a low density mass occupying the whole of left hemithorax and mediastinal shift to the right. Trucut biopsy revealed only fatty tissue. At thoracotomy a 3.25 Kg tumor was resected and the histopathology revealed thymolipoma. Patient remained well after surgery.

Key words

Thymolipoma, Mediastinal tumors, Thymic mass.