Spindle Cell Lipoma Originated from Pleura -A case report -

흉막에서 기원한 방추 세포 지방종 - 1예 보고 -

  • Kim Young Hak (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Han San Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kim Hyuck (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kang Jung Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chon Soon-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chung Won Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University)
  • 김영학 (한양대학교 의과대학 흉부외과학교실) ;
  • 한산웅 (한양대학교 의과대학 흉부외과학교실) ;
  • 김혁 (한양대학교 의과대학 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 흉부외과학교실) ;
  • 전순호 (한양대학교 의과대학 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 흉부외과학교실)
  • Published : 2005.06.01

Abstract

Spindle cell lipoma is a relatively rare adipocytic neoplasm that is easily mistaken for a liposarcoma, and is histologically characterized by a mixture of uniform spindle cells and mature fat cells. It occurs predominantly in male patients aged $45\~65$ years, and in most cases it arises in the subcutaneous tissue of the neck or shoulder. We report a case of a 45-year-old woman with spindle cell lipoma arising from the left pleural cavity.

방추 세포 지방종은 조직학적으로 방추 세포와 지방 세포의 혼합으로 구성된 특이한 종류의 지방종으로 지방육종과 혼동하기 쉽다. 방추 세포 지방종은 보통 목과 어깨 등의 피하조직에서 주로 발생하며 45세에서 65세 남성에 호발한다고 보고되고 있다 45세 여자 환자의 흉막에서 발생한 방추 세포 지방종을 치험하였기에 보고하는 바이다.

Keywords

References

  1. Enzinger FM, Harvey DM. Spindle cell lipoma. Cancer 1975;36:1852-9 https://doi.org/10.1002/1097-0142(197511)36:5<1852::AID-CNCR2820360542>3.0.CO;2-U
  2. Fretcher CDM, Martin-Bates E. Spindle cell lipoma. A clinicopatholgical study with some original observations. Histopathology 1987;11:603-17 https://doi.org/10.1111/j.1365-2559.1987.tb02670.x
  3. Beham A, Schmid C, Hodl S, Fletcher CD. Spindle cell and Pleomorphic lipoma: an immunohistochemical study and histogenetic analysis. J Pathol 1989;158:219-22 https://doi.org/10.1002/path.1711580308
  4. Enzinger F, Weiss S. Benign lipomatous tumor. CV mosby 1995;381-430
  5. Evans H, Soule E, Winkelmann R. Atypical lipoma, atypical intramuscular lipoma and well differentiated liposarcoma. A reapprousal of 30 cases formely classification as well differentiated liposarcoma. Cancer 1979;43:574-84 https://doi.org/10.1002/1097-0142(197902)43:2<574::AID-CNCR2820430226>3.0.CO;2-7
  6. Tradio JC, Aramburu JA, Santonja C. Desmin expression in spindle cell lipomas: a potential diagnostic pitfall. Virchows Arch 2004;445:354-8 https://doi.org/10.1007/s00428-004-1085-2
  7. Evans HL. Liposarcoma: a study of 55 cases with a reassessment of its classification. Am J Surg Pathol 1979;3:507-23 https://doi.org/10.1097/00000478-197912000-00004