2006 Volume 20 Issue 5 Pages 741-744
Intrathoracic chest wall type lipoma is a rare tumor. We report a case of an intrathoracic chest wall type lipoma resected by VATS. A 29-year-old man was referred our hospital for an abnormality on chest X-ray. Chest X-ray showed a left lower mass shadow. CT revealed a homogenious low density intrathoracic mass arising from the chest wall. MRI demonstrated a high intensity mass like a fat tissue. The tumor was pedunculated from the chest wall and easily resected by VATS. The tumor size was 10×8×3cm and 60g. The histological diagnosis was mature lipoma. Postoperative course was uneventful. He is well without recurrence one year after surgery. Video-assisted thoracic surgery seems to be useful for the resection of the pedunculated intrathoracic chest wall type lipoma.