Kocaeli Med J. 2017; 6(1): 80-83

Multislice computed tomography with virtual bronchoscopy findings of endobronchial lipoma: a case report

Mesude Tosun¹, Ýsa Çam², Özgür Çakýr³, Ayþe Çefle^4
1Department Of Radiology, Yalova State Hospital, Yalova, Turkey
²Department Of Radiology, Derince Training And Research Hospital, Kocaeli, Turkey
³Department Of Radiology, Kocaeli University, Kocaeli, Turkey
⁴Rheumatology, Department Of Internal Medicine, Kocaeli University, Kocaeli, Turkey

Endobronchial lipoma is an extremely rare benign tumor that originates from the fat cells located in the peribronchial and the submucosal tissue of main bronchi. They may be asymptomatic if present symptoms depend on the location of the tumor, the severity of bronchial obstruction. Radiological diagnosis is based on demonstrating fat density of the lesion. Bronchoscopic biopsies are frequently nondiagnostic due to the tumor’s thick fibrous capsule or may be confusing due to atypical cells are found secondary to chronic inflammation. Thus CT is extremely important in the diagnosis of endobronchial lipomas. A pedunculated homogeneous mass with fat density is encountered on computed tomography (CT) in a 75 year old man with rheumatoid arthritis. Herein we report MDCT and virtual bronchoscopy findings of endobronchial lipoma (EBL).

Keywords: Diagnostic imaging, Multislice Computed Tomography, Endobronchial, Lipoma,

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Endobronþial lipomun sanal bronkoskopi ile çok kesitli bt bulgularý: olgu sunumu.

Mesude Tosun¹, Ýsa Çam², Özgür Çakýr³, Ayþe Çefle^4
1Yalova Devlet Hastanesi, Radyoloji Kliniði, Yalova,
²Derince Eðitim Araþtýrma Hastanesi Radyoloji Kliniði,Kocaeli
³Kocaeli Üniversitesi Radyoloji Anabilim Dalý,Kocaeli
⁴Kocaeli Üniversitesi Ýç Hastalýklarý Anabilim Dalý, Romatoloji, Kocaeli

Endobronþial lipom, ana bronþun peribronþial ve submukozal dokuda lokalize yað hücrelerinden köken alan oldukça nadir benign bir tümördür. Endobronþial lipom asemptomatik olabilir, semptomlarý ise bronþial obstrüksiyonun þiddetine baðlýdýr. Radyolojik taný lezyonun yað yoðunluðunu göstermeye dayalýdýr. Bronkoskopik biyopsiler, tümörün kalýn fibröz kapsülüne baðlý olarak sýklýkla tanýsal olamayabilir veya kronik inflamasyona sekonder bulunan atipik hücreler nedeniyle yanýlgýya olabilir. Bu nedenle BT, endobronþiyal lipomlarýn tanýsýnda son derece önemlidir. Romatoid artritli 75 yaþýndaki bir erkek hastada bilgisayarlý tomografide (BT) yað dansitesinde homojen bir kitle saptanmýþtýr. Burada ÇKBT ve endobronþiyal lipomun (EBL) sanal bronkoskopi bulgularý sunulmuþtur.

Anahtar Kelimeler: Tanýsal görüntüleme, Çok Kesitli Bilgisayarlý Tomografi, Endobronþial, Lipoma

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