2002 Volume 16 Issue 5 Pages 655-660
We presented a case of cervicomediastinal lipoma with a review of Japanese cases. This case was the oldest case of cervicomediastinal lipoma among 17 such cases. The patient was a 74-year-old man, who was treated as having bronchial asthma and pulmonary emphysema. He was admitted to our hospital because of increasing dyspnea, a palpable cervical mass and a left-sided thoracic mass shadow on chest X-ray films. Chest CT and MRI revealed a mass lesion extending from the antero-superior mediastinum to left side of the neck. The mass lesion was completely resected. The tumor was encapsulated, yellow and soft measuring 10x 9x 6cm. Pathologic diagnosis was lipoma composed of mature adipose cells. The patient was free from recurrence during a 40-month follow-up until he died of pneumonia.