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Query: UMLS:C0010200 (cough)
 23,843 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Endobronchial lipomas are rare, benign lesions that usually obstruct a major bronchus and cause irreversible pulmonary damage distally. Because of the age, sex and smoking history of the patients in whom they are found, they also simulate malignant tumours. The authors report three cases of endobronchial lipoma. Two of the patients had a long history of cough and respiratory symptoms, the third was asymptomatic. Two patients underwent lung resection and one was managed by local resection through a bronchotomy. The lipoma in all three patients was diagnosed preoperatively and treated successfully.
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PMID:Endobronchial lipoma: report of three cases. 366 10

A 0.9 kg lipoma was removed surgically from the cranial mediastinum of an 11-year-old dog. Clinical signs related to the mass consisted of coughing and dyspnea. Postoperative recovery was uncomplicated and the clinical signs diminished immediately. The thoracic cavity is an unusual location for the development of a lipoma.
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PMID:Intrathoracic lipoma in a dog. 651 34

Four cases of endobronchial lipomas are presented. The patients were men between 45 and 54 yr of age. Clinically, two of the patients presented with cough and one with shortness of breath. Two lesions were located in the left lower lobe, one in the right upper lobe, and one in the right lower lobe. Because of the clinical suspicion of malignancy, all patients underwent radical surgical procedures; lobectomy was performed in 3 patients, and pneumonectomy in one. Grossly, all the lesions were characterized by well-circumscribed, soft, yellow nodules that ranged in size from 1.2 to 3.0 cm in greatest diameter. Histologically, the tumors resembled lipomas in other locations, i.e., they were composed of mature adipose tissue devoid of atypia. In two cases, prominent spindle cell areas were also present similar to those of spindle cell lipoma. Identification of the lesion by endoscopic and radiologic means may help avoid unnecessary radical surgery. A review of the literature on these unusual lesions is presented along with a discussion of their differential diagnosis.
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PMID:Endobronchial lipomas: a clinicopathologic study of four cases. 800 45

A 59-year-old man was referred to our hospital with complaint of cough. On physical examination the patient was 159 cm tall and weighted 68 kg. Chest X-ray showed an infiltrative shadow in the left lower lung field. Bronchoscopic findings revealed a polypoid tumor with smooth surface, located at the lower part of the left main bronchus and occupying over two-thirds of the left basal bronchus. A hamartoma was suspected as the result of bronchial biopsy. Endoscopic Nd-YAG laser surgery was performed. The left basal bronchus was opened. Histologically the tumor consisted mainly of mature fat tissue with collagen fibers and was diagnosed as a bronchial lipoma. Bronchial lipoma arising from the submucosal tissue of a large bronchus, occurs mainly in obese and middle-aged men. It is a rare benign tumor of the lung and only 38 cases have been reported in Japan.
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PMID:[A case of bronchial lipoma treated by Nd-YAG laser surgery]. 825 24

Lumbar hernias are rare (2% of abdominal wall hernias). Symptomatology consists frequently only of an arch formation seen best with the patient sitting and when coughing. In adults it is twice as frequent in women and on the left side. Acute events, dominated by incarceration of a digestive segment, particularly colic, often suggest the diagnosis (10% of cases). Diagnosis is simple when confronted with a large hernia, but difficulties arise with those less than 5 cm in diameter, often diagnosed as a lipoma or parietal tumor. Conventional radiographs and ultrasound images are usually sufficient to establish the correct diagnosis and to determine the content of the hernial sac, but computed tomography scans can provide data on the exact limits of the defect and allow evaluation of possible problems during surgical repair. Rarely congenital (10%), these hernias occur either secondary to a violent lumbo-abdomino-pelvic injury (25%) or following surgical intervention to the lumbar region (50% of cases). Small hernias can be repaired using the direct approach but larger deficits require the insertion of a reinforcing non absorbable prosthesis. Long term results, both for the 4 cases reported and those published in the literature, were assessed as satisfactory.
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PMID:[Lumbar hernias in adults. Apropos of 4 cases and review of the literature]. 827 8

We experienced a case of cervicomediastinal lipoma. The patient was a 3-year-old boy suffering from low-grade fever and dry cough. We detected an abnormal shadow on a chest X-ray film. Subsequent CT and MRI demonstrated a nonhomogeneous mass extending from the posterior mediastinum to the right side of the neck. We performed an operation for the mediastinal tumor under median sternotomy and right neck incision. The encapsulated tumor was 11 x 6 x 8 cm in size and was histologically diagnosed as myxolipoma. The nonhomogeneity of the tumor was due to myxomatous degeneration of the adipose tissue. Although this case was complicated by Horner's syndrome, the postoperative course was relatively fair.
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PMID:[A case report of cervicomediastinal lipoma]. 915 37

We report the first case of pleomorphic lipoma in the hypopharynx. A 69-year-old man was admitted because of a 12 year history of dysphagia and cough. Direct laryngo-pharyngoscopy revealed a polypoid, yellow, smooth, submucosal tumor with well defined borders. At CT scan the tumor showed a hypodense pattern and measured 3 cm. Microscopically the neoplasm was composed mainly by typical lipomatous tissue, bundles of collagen and pleomorphic multinucleated cells, some with floret-like appearance. Lipoblasts and mitoses were not found. Six months after resection there was no evidence of recurrence.
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PMID:A case of pleomorphic lipoma of the hypopharynx. 976 94

Primary tracheal lipomas are extremely rare neoplasms. The typical patient is a middle-aged man with complaints of cough and shortness of breath. Often, the diagnosis is delayed, and patients are treated for asthma or bronchitis. The diagnosis of a tracheal lipoma is best approached by computed tomography (CT) and bronchofibroscopy. Tracheobronchial lipomas may be successfully excised endoscopically or by laser therapy. Open surgical resection is required when the lipoma extends extraluminally.
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PMID:Tracheal lipoma: a rare intrathoracic neoplasm. 1083 49

Pyrexia, granulocytosis and hyperglobulinaemia were the main clinical findings in an unusual case of intrathoracic lipoma in a 12-year-old male Labrador retriever. The response to antibiotic and anti-inflammatory treatment was poor, prompting further investigation. Survey radiographs and ultrasonography revealed a cavitated, fluid-filled soft tissue mass in the right hemithorax, which was successfully removed resulting in rapid resolution of clinical signs. Lipomas are rare intrathoracic extrapulmonary tumours. Previously reported clinical signs are dyspnoea and coughing, attributed to the mass effect of the lipoma. The unusual presentation in this case was caused by necrosis of the lipoma, probably owing to torsion of the pedicle attaching it to the cranial mediastinum.
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PMID:Intrathoracic lipoma in a Labrador retriever. 1121 20

While lipomas on the trunk and limbs are common, they are rare in the upper aerodigestive tract. A case is reported of an 18 cm long pedunculated lipoma arising from the hypopharynx in a 73 year old man. The tumour was asymptomatic until it appeared in the mouth of the patient after a coughing episode.
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PMID:A rare case of a pedunculated lipoma in the pharynx. 1197 55


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