Bilateral symmetrical lipoma of the buccal fat pad as an incidental finding in a woman with weight gain after tamoxifen: a case report

Koh, In Suk; Kim, Jin Woo; Yun, Ji Young; Chung, Eui Han; Yang, Young Il; Sun, Hook

doi:10.7181/acfs.2021.00514

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…The neck and trunk are the most common locations of lipomas [13][14][15]. Surgical excision is the treatment of choice for large lipomas, but complications such as pain, bleeding, infection, hematoma, seroma, scarring, and recurrence can occur.…”

Section: Discussionmentioning

confidence: 99%

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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Background: Lipomas are common benign tumors of mesenchymal origin that are composed of mature adipocytes. Giant lipomas have a diameter ≥ 10 cm in one or more dimensions or weigh at least 1,000 g. The surgical excision of a giant lipoma requires extensive dissection, increasing the risk of a seroma, which can cause surgical site complications such as wound infection and necrosis. Sclerotherapy with Abnobaviscum (Viscum album extract) is a relatively new technique used to reduce malignant pleural effusion. In this study, we evaluated the effectiveness of prophylactic sclerotherapy using Abnobaviscum to decrease seroma after giant lipoma excision.Methods: We conducted a retrospective medical record review of patients who underwent surgical excision for giant lipoma of the neck from January 2019 to December 2022. Sclerotherapy was performed on the first postoperative day in patients who consented to the procedure, and Abnobaviscum was instilled through the existing Hemovac drain. We compared the clinical course between those who underwent postoperative sclerotherapy and those who did not.Results: Among the 30 patients who underwent giant lipoma excision, we applied sclerotherapy with Abnobaviscum to 15 patients. The average time from surgery to Hemovac removal was statistically shorter in patients who underwent sclerotherapy (p= 0.004). Furthermore, seroma formation was significantly reduced in patients receiving sclerotherapy (p= 0.003).Conclusion: In patients undergoing giant lipoma excision, sclerotherapy using Abnobaviscum helps reduce postoperative seroma formation during the initial postoperative period. It can be an excellent method to reduce complications related to seroma and attenuate patients’ postoperative burden.Abbreviations: BMI, body mass index; DM, diabetes mellitus; HTN, hypertension; NSAIDs, nonsteroidal anti-inflammatory drugs; POD, postoperative day

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Section: Discussionmentioning

confidence: 99%

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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“…[7] Lipomas are the most common soft tissue tumors and occur in various regions of the body, including the shoulder. [8,9] However, while malignant tumors can occur in the shoulder, such as liposarcoma, myxofibrosarcoma, pleomorphic undifferentiated sarcoma, dermatofibrosarcoma protuberans, synovial sarcoma, leiomyosarcoma, and malignant peripheral nerve sheath tumors, [7] malignant tumors in the teres minor muscles are rare. A literature search of the Ovid, PubMed, Scopus, and Web of Science electronic databases on June 30, 2022, using the terms teres minor, sarcoma, carcinoma, cancer, malignant tumor, and malignancy and without date or language restriction, revealed no other reports.…”

Section: Discussionmentioning

confidence: 99%

Myxoid pleomorphic liposarcoma in the teres minor muscle: A case report

et al. 2022

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Rationale: Myxoid pleomorphic liposarcoma (MPL) is a rare aggressive adipocytic tumor that mainly presents in children and adolescents. It is most frequently observed in the mediastinum and rarely in the head and neck, perineal region, or back. Herein, we report the first published case of MPL of the teres minor muscle.Patient concerns: A 24-years-old woman presented with a painless palpable mass in her right shoulder.Diagnoses: Magnetic resonance imaging identified a 9.0 × 7.0 × 4.0 cm mass suspected to be a sarcoma in the teres minor muscle. Positron emission tomography/computed tomography revealed no evidence of distant metastasis. Histopathological examination revealed the mass to be an MPL, which was assigned a histologic grade of 3 according to the French Federation of Cancer Centers Sarcoma Group system. No tumor cells were observed along the resected margins.Interventions: Under general anesthesia, the right teres minor muscle containing the mass was excised en bloc and frozen biopsy confirmed that the tumor cells did not invade the surrounding tissues.Outcomes: The patient underwent radiotherapy and was followed up for 6 months without complications.Lessons: Although MPL in the teres minor muscle is rare, it should be considered in the differential diagnosis in patients with a mass in the teres minor muscle due to its poor prognosis.Abbreviations: CD = cluster of differentiation, DIT3 = damage-inducible transcript 3, EWSR1 = Ewing's sarcoma RNA binding protein 1, FUS = fused in sarcoma, INI1 = integrase interactor 1, LFS = Li-Fraumeni syndrome, MDM2 = mouse double minute 2 homolog, MPL = myxoid pleomorphic liposarcoma.

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Bilateral symmetrical lipoma of the buccal fat pad as an incidental finding in a woman with weight gain after tamoxifen: a case report

Cited by 2 publications

References 16 publications

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Myxoid pleomorphic liposarcoma in the teres minor muscle: A case report

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