Giant lipoma of the back (original) (raw)
Related papers
International Surgery Journal, 2022
Lipoma is one of the most common soft tissue tumor arising from the mesenchyme. It is slow growing, encapsulated, and usually benign in nature. Tumors over the back, shoulder, and neck region have a high propensity to assume large size thereby getting redefined as a giant lipoma when they exceed 10 cm in width or weigh more than 1000 grams. MRI is the investigation of choice for evaluating giant lipomas. Fine needle aspiration cytology (FNAC) or frozen section may be pertinent in suspected cases of liposarcoma. Complete surgical incision is the treatment of choice. A case of a giant lipoma on the back of a 64-year-old lady is presented with a view to revisit conceptual understanding of the clinical evaluation, investigation, and management of giant lipomas.
A Curious Case of Giant Lipoma
S Open Access Open Journals Publishing SOAOJ, 2020
A lipoma is a fatty tissue tumor presenting as a painless, slow growing mass, that can affect any part of the body rich in adipose tissue. Lipomas can be present in the thigh, shoulder, trunk, etc. They are usually small in size. The lipomas that are larger may, sometimes, transform into malignancy. It may also hamper the quality of life as it can cause pain, prevent comfortable sleep, compress structures within its anatomical vicinity, lead to infections and so forth. Mass localization may also restrict body functions. Lipoma is described as "giant" beyond 1 kg of weight and 10 cm diameter. The diagnosis is primarily clinical. In this case, a 75-year old man presented with a huge swelling over his back, ranging from the left superior border of scapula to the left lumbar region, that has evolved over 15 years. The size and location of the lipoma prevented the patient from lying supine, sitting erect and made dressing problematic. The patient became extremely conscious of his physical appearance and preferred not to step out of his house. After examination, the patient was taken into surgery where a 35cm × 23cm × 22cm mass weighing 3476 grams was successfully excised. Cosmetic and functional results of the surgery were excellent leaving the patient satisfied. Post-surgery the patient reports an improved quality of life.
Giant lipoma of the upper back: A case report
Our Dermatology Online, 2015
Lipomas are the most frequent benign tumors of mesenchymal origin. Lipomas may become giant masses, due to usually asymptomatic, painless, slow growing soft tissue tumours. They are more common 5-10 times in males and appearing to avarage age fifth decade of life. Although differantion between lipoma and liposarcoma of low grade malignancy conflict, total surgical excision is adequate treatment. İn this case report, we present 70 years old male with giant back of left shoulder mass as lipoma after surgical excision and histopathological examination.
Mammoth Lipoma of the Back - A Case Report
Journal of Evidence Based Medicine and Healthcare, 2021
Lipomas are very common benign tumours of mesenchymal origin. Lipomas occur with an estimated prevalence rate of 2.1 per 1000 amongst all tumours that can involve in the human body. There have been only 5 cases of giant lipomas published to date.1-5 This case report describes a unique giant lipoma located in the upper back with 30 x 30 cm in measurement and weighing 3800 grams.
Giant Lipoma Back Mimicking as Lipomeningomylocele -A Case Report
Fat tissue appears in the embryo, and the formation of new lobules ceases in late fetal life or the early postnatal period. Lipoma is thought to result from a continuation of the proliferation of these fat tissue lobules. Thus lipoma is most common mesenchymal tumor & also known as ubiquitous tumor or universal tumor because it can arise from any part of body which contains fat. The treatment of giant lipoma is complete surgical excision but it associated with 5% recurrence rate.
Giant lipoma of thigh -Case report of rare tumour
Indian Journal of Pathology and Oncology, 2023
Lipomas are tumours which arise from fat tissues and are most common soft tissue tumours. When lipomas turn malignant, they are known as liposarcoma. Lipomas of length greater than 10cm or weight greater than 1000 grams is defined as giant lipoma. Lipomas are mostly asymptomatic at presentation, however when enlarged they can cause symptoms like pain, difficulty in walking due to compression of underlying neurovascular structures. A male patient aged 65 years presented with non-painful swelling in the left thigh which gradually increased in size over last 6 months. The patient did not have any symptoms due to swelling. On examination the swelling was measured 20x15 cm not fixed to skin or underlying bone or soft tissues. No inguinal lymph node was palpable. Contrast Enhanced Magnetic Resonance Imaging (CEMRI) of thigh showed a well circumscribed fat enhanced lesion in the anterior compartment of the left thigh which measures approximately 10.4 x 12.5 x 21.4 cm. The mass lesion was abutting & medially displacing the femoral neurovascular bundle without encasement. Core biopsy from lesion showed adipocytes with background myxoid stromal and skeletal tissue. No cellular pleomorphism mitosis or increased vascularity is evident. Patient underwent excision of tumour with intact capsule under GA via longitudinal elliptical incision. Final histopathology was reported as mature adipocyte separated by thin fibrous septa suggestive of lipoma without any evidence of lipoblasts or atypical nuclear cells. Patient does not have any recurrence after one year of follow up. Surgical excision with intact capsule is treatment of choice for lipoma. In giant lipomas malignant transformation to liposarcoma should be suspected. On imaging malignant transformation is suspected with characteristics like solid component, haemorrhage, infiltration into neurovascular structures which is confirmed on final histopathology report after excision. Keywords: Giant lipoma, Soft tissue tumour.
Giant Lower Back Lipoma in Pediatric : A Case Report
Bali Medical Journal
Backgrounds: Lipoma is the most common soft-tissue mesenchymal neoplasm in adults. Lipoma that sized over 10 cm and weighed over 1000 grams is considered giant lipoma. Giant lipoma, especially in children are rare, so it represents a real diagnostic and therapeutic challenge. In this case report, we report a further case. Case: A three-year-old girl with a history of progressive growing mass on the lower back since born resulting in pain. CT scan with contrast shows a soft tissue mass with fat content sized 6,1 x 12,1 x 12,7 cm without contrast enhancement. Surgical excision was performed to remove the tumor completely. Histopathology examination confirmed the diagnosis of lipoma. Discussion: Tumor location, size, and clinical symptoms decide the treatment of intramuscular lipoma. The ultimate treatment of a giant lipoma is wide surgical excision, because this large tumor may undergo malignant transformation. Conclusion: Pediatric giant lipomas are rare, and when they present, an appropriate workup must be done. This should be followed by adequate open surgical excision and repeat examination over time to monitor for recurrence.
Approach and management of a giant lipoma in the left lumbar region
International Journal of Surgery Case Reports, 2015
INTRODUCTION: Lipomas are the most common benign tumors of the adipose tissue and can be located in any region of the body. In most cases lipomas are small and asymptomatic, but they can at times reach considerable dimensions and, depending on their anatomic site, hinder movements, get inflamed, cause lymphedema, pain and/or a compression syndrome. PRESENTATION OF CASE: We here report the case of an otherwise healthy patient who came to our observation with a giant bulk in the left lumbar region which had been showing progressive growth in the previous 5-6 years. Physical examination, ultrasound and MRI were carried out in order to characterize the size, vascularization and limits of the lesion. Due to the pain and restriction of movement that this bulky lesion caused, surgical excision of the lesion was performed. DISCUSSION: Giant lipomas display an important differential diagnosis problem with malignant neoplasms, especially liposarcomas, with which they share many features; often the final diagnosis rests on histological evaluation. We here discuss the diagnostic problems that arise with a giant lipoma and all the possible approaches concerning treatment of such a big lesion, explaining the reasons of our approach and management of a common tumor in our case presenting unusual dimensions and location. CONCLUSION: Our approach revealed to be successful in order to nurse our patient's pain, restore the mobility and address the aesthetic issues that this lesion caused. Postoperative checkups were carried out for one year and no signs of relapse have been reported.
Giant liposarcoma of the back with 4 types of histopathology: a case report
Cases Journal, 2009
The incidence of soft tissue tumours, both malignant and benign, is very common. However, the coexistence of 4 types of histopathology is rare and the aim of this article is to present one treated in our Department. An 87-year-old Greek man was treated in our Department for a huge tumour on his back, under local anaesthesia. The pathology report of the specimen referred 4 types of neoplasia. This case represents this incidence in a giant liposarcoma of the back.