PMID- 25545711 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150126 LR - 20200929 IS - 2210-2612 (Print) IS - 2210-2612 (Electronic) IS - 2210-2612 (Linking) VI - 6C DP - 2015 TI - Massive intrathoracic lipoma in men1 syndrome. PG - 247-50 LID - S2210-2612(14)00322-8 [pii] LID - 10.1016/j.ijscr.2014.10.071 [doi] AB - INTRODUCTION: The multiple endocrine neoplasia type 1 (MEN1) is a rare autosomal dominant syndrome characterized by the onset of hyperparathyroidism, gastroenteropancreatic neuroendocrine tumors and pituitary lesions. PRESENTATION OF CASE: This appears to be the first described case of a massive intrathoracic lipoma in MEN1. The patient was affected with primary hyperparathyroidism treated with a total parathyroidectomy followed by a distal pancreatectomy for insulinoma. At follow-up, the computed tomography showed a massive lesion on the left emithorax suggestive of a lipoma. At the onset of a mild dyspnea we decided to perform the surgical excision of the mass obtaining a complete relief of the symptoms. DISCUSSION: This case is evidence of the importance of a strict follow-up of such patients. CONCLUSION: Lipomas are the most frequent benign soft tissue tumors. They are usually sporadic but are sometimes related to hereditary syndromes. Intrathoracic localizations are rare and can arise mainly in the mediastinum, bronchus or lung. The diagnosis is often incidental; despite preoperative imaging will accurately show the features of the lesions, it is impossible obtain an accurate diagnosis-hence, the treatment of choice remains the surgical excision. CI - Copyright (c) 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Sturiale, Alessandro AU - Sturiale A AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. Electronic address: alexstur@yahoo.it. FAU - Giudici, Francesco AU - Giudici F AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. FAU - Alemanno, Giovanni AU - Alemanno G AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. FAU - Cavalli, Tiziana AU - Cavalli T AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. FAU - Addasi, Rami AU - Addasi R AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. FAU - Santomaggio, Carmine AU - Santomaggio C AD - Department of Pneumology, University of Florence Medical School, Careggi University Hospital, Florence, Italy. FAU - Meoni, Giulia AU - Meoni G AD - Department of Oncology, Medical Oncology 1, Careggi University Hospital, Florence, Italy. FAU - Brandi, Maria Luisa AU - Brandi ML AD - Regional Centre for Hereditary Endocrine Tumors, Unit of Metabolic Bone Diseases, Department of Internal Medicine, University of Florence, Florence, Italy. FAU - Tonelli, Francesco AU - Tonelli F AD - Digestive Surgery Unit, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy. LA - eng PT - Journal Article DEP - 20141212 PL - Netherlands TA - Int J Surg Case Rep JT - International journal of surgery case reports JID - 101529872 PMC - PMC4337913 OTO - NOTNLM OT - GEP-NET OT - Intrathoracic lipoma OT - MEN 1 syndrome OT - Surgery EDAT- 2014/12/30 06:00 MHDA- 2014/12/30 06:01 PMCR- 2014/12/12 CRDT- 2014/12/30 06:00 PHST- 2014/02/24 00:00 [received] PHST- 2014/10/17 00:00 [revised] PHST- 2014/10/18 00:00 [accepted] PHST- 2014/12/30 06:00 [entrez] PHST- 2014/12/30 06:00 [pubmed] PHST- 2014/12/30 06:01 [medline] PHST- 2014/12/12 00:00 [pmc-release] AID - S2210-2612(14)00322-8 [pii] AID - 10.1016/j.ijscr.2014.10.071 [doi] PST - ppublish SO - Int J Surg Case Rep. 2015;6C:247-50. doi: 10.1016/j.ijscr.2014.10.071. Epub 2014 Dec 12.