Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Thymolipoma Simulating Cardiomegaly

심장비대와 감별이 필요했던 흉선지방종 1예

  • Ju, Hun Su (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Sang Ha (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Jung Kwon (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Hong, Tae Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Lee, Nak Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Yong, Suk Joong (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Shin, Kye Chul (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Lee, Kwang Gil (Department of Pathology, Yonsei University Wonju College of Medicine) ;
  • Lee, Won Yeon (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
  • 주헌수 (연세대학교 원주의과대학 내과학교실) ;
  • 김상하 (연세대학교 원주의과대학 내과학교실) ;
  • 김정권 (연세대학교 원주의과대학 내과학교실) ;
  • 홍태원 (연세대학교 원주의과대학 내과학교실) ;
  • 이낙원 (연세대학교 원주의과대학 내과학교실) ;
  • 용석중 (연세대학교 원주의과대학 내과학교실) ;
  • 신계철 (연세대학교 원주의과대학 내과학교실) ;
  • 이광길 (연세대학교 원주의과대학 병리학교실) ;
  • 리원연 (연세대학교 원주의과대학 내과학교실)
  • Published : 2004.01.30
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Abstract

Thymolipoma is rare benign tumor of the thymic gland and mostly occurs at anterior mediastinum. Thymolipoma comprises 2~9% of thymic tumor and less than 1% of mediastinal mass. Therefore, thymolipoma should be differentiated from anterior mediastinal tumor such as thymoma, germ cell tumor and lymphoma. These tumors resemble cardiomegaly, pleural effusion, basal atelectasis, pericardial tumor and cyst, pleural tumor, lung cancer and pulmonary sequestration, and differentiated from above mentioned diseases. Though most cases are asymptomatic, there can be dyspnea with compression of adjacent organ by mass effect, and myasthenia gravis. We experienced a thymolipoma simulating cardiomegaly and report the case with the review of literatures.

저자들은 44세 여환에서 흉부 단순 촬영상 심장비대로 오인되어 순환기내과로 전원된 환자에서 흉선지방종으로 진단 후 수술적제거로 치료한 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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