MESUDE TOSUN, İSA ÇAM, Özgür ÇAKIR, Ayşe ÇEFLE

Endobronşial Lipomun Sanal Bronkoskopi ile Çok Kesitli BT Bulguları: Olgu Sunumu

Endobronşial lipom, ana bronşun peribronşial ve submukozal dokuda lokalize yağ hücrelerinden köken alan oldukça nadir benign bir tümördür. Endobronşial lipom asemptomatik olabilir, semptomları ise bronşial obstrüksiyonun şiddetine bağlıdır. Radyolojik tanı lezyonun yağ yoğunluğunu göstermeye dayalıdır. Bronkoskopik biyopsiler, tümörün kalın fibröz kapsülüne bağlı olarak sıklıkla tanısal olamayabilir veya kronik inflamasyona sekonder bulunan atipik hücreler nedeniyle yanılgıya olabilir. Bu nedenle BT, endobronşiyal lipomların tanısında son derece önemlidir. Romatoid artritli 75 yaşındaki bir erkek hastada bilgisayarlı tomografide (BT) yağ dansitesinde homojen bir kitle saptanmıştır. Burada ÇKBT ve endobronşiyal lipomun (EBL) sanal bronkoskopi bulguları sunulmuştur.

Multislice Computed Tomography with Virtual Bronchoscopy Findings of Endobronchial Lipoma: A Case Report

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).

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