肺原発高分化型脂肪肉腫の1例

Well Differentiated Liposarcoma of a Lung：Report of a Case

はじめに　脂肪肉腫のほとんどは四肢や後腹膜に発生する組織由来の悪性腫瘍であり，肺内に発生する症例はきわめてまれである．われわれは肺尖部ブラ内に発生した肺原発脂肪肉腫の1例を経験したので報告する．

A 61-year-old woman was referred for further evaluation of an intracystic nodule in her left upper lung. Computed tomography （CT） showed a 15 mm nodule in a pulmonary cyst adjacent to aortic arch and mediastinum. Fluorodeoxyglucose-positron emission tomography （FDG-PET）-CT showed little uptake of FDG in the lesion. No abnormality was found in the bronchoscopy findings. On imaging findings, the possibility of pulmonary aspergilloma was considered, but the serological findings were inconsistent, and surgical resection of the lesion was performed for both diagnosis and treatment. The final pathohistological diagnosis was well differentiated liposarcoma. No adjuvant therapy was performed and the patient has been well without recurrence for 2 years after the surgery. We report a rare case of well differentiated liposarcoma of a lung mimicking pulmonary aspergilloma.