胸腔内結石(胸腔内遊離体)の1摘出例

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  • A CASE OF THORACOLITHIASIS EXTIRPATED

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An asymptomatic 80-year-old man, who was under treatment for hypertension and diabetes, was admitted to the hospital because of a mobile coin lesion on a chest X-ray film. CT and magnetic resonance imaging scans demonstrated a round mass lesion, about 2.0cm in diameter, between S2 and S6 segments of the right lung. Video-assisted thoracic surgery (VATS) was performed to remove the mass located in the oblique fissure. The easily removed mass was 2.2×2.0×1.8cm in dimension, eggshaped and elastic-hard, and had smooth surface. Histologically this mass had an eggshell like structure composed from coagulation necrosis of fat cells surrounded by collagen fibrous tissue, which was identical to that of the intraperitoneal loose body. The definite diagnosis was thoracolithiasis, which is known to encounter very rarely.

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