Giant Lower Back Lipoma in Pediatric : A Case Report

Gondowardojo, Yustinus Robby Budiman; Argie, Donny

doi:10.15562/bmj.v6i3.582

Cited by 2 publications

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“…A giant lipoma refers to a lesion that should be at least 10 cm in axial or coronal dimension or weigh a minimum of 1000 g. These types of lipomas can cause compression to adjacent anatomic structures (1). Giant lipomas are rarely presented in the English-speaking literature, with usually case reports or series (1)(2)(3)(4)(5)(6)(7)(8)(9). The choice to prefer wide or marginal resection is variable (10).…”

Section: Introductionmentioning

confidence: 99%

Clinical Results of Surgical Treatment of Giant Lipomas: A Single-Center Experience

YILDIRIM¹,

Zenginkinet²,

Okay³

et al. 2022

Düzce Tıp Fakültesi Dergisi

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Aim: Lipomas are benign tumors, and generally present as small lesions. However, giant lipomas are less frequent. There are only a few studies regarding the surgical treatment of giant lipomas. Marginal or wide resection is usually performed; however, there is no standard surgical approach. The aim of this study was to evaluate clinical results after surgical treatment of giant lipomas and to present a differential diagnosis of lipomatous lesions. Material and Methods: A total of 42 cases (24 female, 18 male) admitted to our clinic between 2015 and 2020 due to giant lipoma with at least 10 cm dimensions were included in this study. A preoperative biopsy was performed for all cases. All patients were undergone wide excision followed by postoperative histopathological examination. Results: The mean age was 57.5±12.9 years. The median follow-up was 35 months. Anatomic localization was thigh in 16 (38.1%) patients, shoulder in 7 (16.7%) patients, hip in 5 (11.9%) patients, back in 4 (9.5%) patients, arm in 9 (21.4%) patients, and the iliac region in 1 (2.4%) patient. Wide resection was performed, and final pathology was consistent with lipoma in all cases. There was no complication except in one patient who had transient neuropraxia after removing a giant lipoma at the proximal femur. At the latest follow-up, all cases were asymptomatic with no recurrence. Conclusion: Preoperative biopsy and wide resection should be preferred for the diagnosis and treatment of giant lipomas. Wide resection may prevent a recurrence. Routine follow-up is necessary to detect possible malign transformation.

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Section: Introductionmentioning

confidence: 99%

Clinical Results of Surgical Treatment of Giant Lipomas: A Single-Center Experience

YILDIRIM¹,

Zenginkinet²,

Okay³

et al. 2022

Düzce Tıp Fakültesi Dergisi

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A Rare Case of a Giant Intramuscular Lipoma of the Upper Extremity in a Pediatric Patient

Ai,

Zarb,

Cassidy

et al. 2024

Cureus

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Although lipomas are the most common benign soft tissue tumors, the non-infiltrating intramuscular subtype is relatively uncommon. As these masses typically present between the ages of 40 and 70, few cases have been reported in the pediatric population. We present a case of a giant intramuscular lipoma of the biceps brachii in an adolescent. He presented with a slow-growing, tender mass and had no neurovascular compromise of the limb. MRI was utilized to visualize the mass, and a muscle-sparing excisional biopsy was performed. Histologic evaluation confirmed a diagnosis of a benign lipoma. The patient went on to heal without a functional deficit. Large, growing soft tissue masses warrant work-up to rule out malignancy. Advanced imaging and excisional biopsy are necessary to confirm the diagnosis of a benign giant intramuscular lipoma, which is especially rare within the pediatric population. We discuss the prevalence and treatment of intramuscular lipomas, including a literature review of reports in the pediatric population.

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Giant Lower Back Lipoma in Pediatric : A Case Report

Cited by 2 publications

References 0 publications

Clinical Results of Surgical Treatment of Giant Lipomas: A Single-Center Experience

Clinical Results of Surgical Treatment of Giant Lipomas: A Single-Center Experience

A Rare Case of a Giant Intramuscular Lipoma of the Upper Extremity in a Pediatric Patient

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