Intraosseous lipoma: a clinical study of 12 patients

Goto, Takahiro; Kojima, Tatsuyoshi; Iijima, Tadahiko; Yokokura, Satoshi; Motoi, Toru; Kawano, Hirotaka; Yamamoto, Aiichiro; Matsuda, Koichi

doi:10.1007/s007760200046

Cited by 44 publications

(35 citation statements)

References 18 publications

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“…Su incidencia lo sitúa como uno de los tumores óseos menos frecuentes (0,1-2,5%), a pesar de que este hecho podría deberse a que, al ser asintomático, pasa inadvertido en muchos casos 2,3,5,10 . La mayoría son asintomáticos, pero cuando presenta sintomatología el elemento más frecuente es el dolor (50%).…”

Section: Discussionunclassified

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Lipoma intracalcáneo en un jugador profesional de baloncesto

Rodas

Pedret

Savín

et al. 2008

Apunts. Medicina de l'Esport

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RESUMEN:El lipoma intraóseo es una lesión adiposa benigna del tejido musculoesquelético. Suele ser una lesión asintomática y de etiología poco clara. Las técnicas de imagen (resonancia magnética y tomografía computarizada) son bá-sicas para su diagnóstico y su clasificación. En este artículo se describen el caso clínico y el seguimiento de un jugador profesional de baloncesto en el que en la revisión médica previa a su fichaje se observó en la radiología simple un lipoma intracalcáneo de años de evolución.PALABRAS CLAVE: Lipoma intraóseo. Calcáneo. Lesión. ABSTRACT:Intraosseus lipoma is a benign musculo-skeletal injury. This lesion is usually asymptomatic, with unclear etiology. Imaging techniques such as magnetic resonance imaging and computed tomography are essential for the diagnosis and classification of these injuries. The present article describes the case of a professional basketball player with an intracalcaneus lipoma, which was detected radiologically during medical examination before the player was signed up. The follow-up of this player is also described.

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Section: Discussionunclassified

“…La etiología de la lesión no está claramente definida pero suele derivar tras una reacción postraumática, tras un infarto óseo o ser directamente un auténti-co tumor benigno [2][3][4][5][6] .…”

Section: Introductionunclassified

Lipoma intracalcáneo en un jugador profesional de baloncesto

Rodas

Pedret

Savín

et al. 2008

Apunts. Medicina de l'Esport

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“…Goto et al 5 . suggested surgical indication of intraosseous lipoma only if the lesion was painful or incase of pathological fracture or necessity for histological diagnosis or need to decrease the risk of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

“…3 The age distribution reported is from youth to elderly with increased incidence in the fourth, fifth and sixth decades of life. 4,5 Most cases are unifocal, though rarely mulifocal lesions can occur. Most cases are detected while under evaluation for some unrelated pathology.…”

Section: Discussionmentioning

confidence: 99%

Intraosseous lipoma - A rare cause of ‘cystic’ lesion of calcaneum

et al. 2016

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Intraosseous lipoma is an uncommon benign bone neoplasm with most of them detected incidentally on multimodality imaging while being evaluated for an unrelated pathology. Long and cancellous bones are commonly involved. This lesion can present a diagnostic challenge to those uninitiated in its appearence because they can be often mistaken for other benign or malignant bone lesions such as enchondroma, fibrous dysplasia, osteoblastoma, bone infarct, bone cyst and chondrosarcoma. Here we report a case of symptomatic calcaneal lipoma in a 50 year old lady who presented with heel pain. Plain X-ray suggested cystic lesion of calcaneum. MRI revealed the presence of intralesional fat and histopathological examination confirmed the diagnosis. We present this report for its rarity and the clinching MRI features of this lesion, the excellent prognosis and near negligible recurrence rates, so that misdiagnosis leading to unnecessary workup, biopsy and treatment may be avoided, especially in asymptomatic patients.

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“…2,4,8,10 Most common complaint is pain. All our patients major complaint were pain on the talus even calcaneus and the other tarsal, metatarsal bones and phalanxes were affected.…”

Section: Discussionmentioning

confidence: 99%

Multiple Intraosseous Lipoma: Report of Three Cases

Kalender¹,

Özkan²,

Sayar³

et al. 2011

UHOD

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Multiple intraosseous lipoma (MIOL) is extremely rare bone tumour. Its real incidence is estimated as much more because of most of these tumours is asymptomatic and undiagnosed. We reported 3 MIOL patients involving both upper and lower extremity. Two female patient with 30 and 26 age and one male with 52 years old represented by intraosseous lipomatous lesions involving bilateral wrist and hand bones, distal radius, proximal and distal femur, patella, proximal and distal tibia metaphyses, distal fibula, ankle and foot bones. Painful lesions were curetted and grafted by allograft. A distal radius fracture is treated by closed reduction and percutaneus pining. All the lesions healed that is managed by surgery. The asymptomatic lesions were not treated anyway. MIOL needs surgery in the case of pain, pathologic fracture, pathologic diagnosis confirmation and impending fracture. The malign transformation potential is present even rare. It must be followed in long period and carefully. CT is a good diagnostic imaging allowing negative density measurement in lesions between -60 and -110 HU. Keywords: Intraosseous lipomatosis ÖZET Multipl ‹ntraosseoz Lipoma: Üç Olgu SunumuMultipl intraosseoz lipoma (M‹OL) kemik tümörleri içinde çok nadir bir tümördür. Ancak gerçek insidans› asemptomatik oldu¤u ve tan› konulmadan kald›¤› için daha yüksek oldu¤u tahmin edilmektedir. Bu tümörün multipl kemik tutulumu literatürde çok nadir olarak bildirilmifltir. Biz hem üst hem alt ekstremiteyi ilgilendiren 3 vaka sunduk. Otuz ve 26 yafl›nda 2 kad›n ve 52 yafl›nda erkek hastada her iki el bilek, distal radius, falankslar, karpal ve metakarpal kemikler, femur proksimal, femur distal metafizleri, patella, proksimal ve distal tibia metafizleri, fibula distali, ayak bile¤i ve ayak kemiklerinin tümünü tutuldu¤u multip›l intraosseoz lipoma vakas› sunuldu. Vakalarda a¤r› yapan lezyonlar küretaj ve allogreft greftleme ile tedavi edildi. Radius distalinde k›r›k geliflen bir hastada kapal› redük-siyon perkutan pinleme uyguland›. Müdahale edilen bütün lezyonlarda düzelme izlendi. Semptom vermeyen lezyonlara tedavi uygulanmad›. M‹OL lezyonlar› klasik intraosseoz lipomlar gibi yaln›zca semptom veren lezyonlarda, k›r›k tehdidi olan durumlarda veya tan› amaçl› cerrahi müdahaleye ihtiyaç duyarlar. Çok nadir de olsa malignite geliflim riski mevcuttur. Hastalar›n uzun sureli takibi gerekir. Bilgisayarl› tomografi (BT) ile lezyon içi densite ölçümünde negatif de¤er

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Intraosseous lipoma: a clinical study of 12 patients

Cited by 44 publications

References 18 publications

Lipoma intracalcáneo en un jugador profesional de baloncesto

Lipoma intracalcáneo en un jugador profesional de baloncesto

Intraosseous lipoma - A rare cause of ‘cystic’ lesion of calcaneum

Multiple Intraosseous Lipoma: Report of Three Cases

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