Lipoblastoma of the neck mimicking cystic hygroma

Pediatric lipoblastoma in the head and neck: A systematic review of 48 reported cases

“…T2 weighted imaging reveals high signal intensity. A potentially diagnostic characteristic is that unlike subcutaneous fat, lipoblastomas exhibit high signal intensity on fat suppression [19]. Taken as a whole, the MRI appearance is of a lobulated and heterogeneous lesion with streaks and whorls attributable to the intralesional fibrous framework [20].…”

“…Lymphangiomas appear very similar to lipoblastomas with MRI scans as well. One differentiating characteristic may be that they appear more intense on T2 weighted MRI than fat [19].…”

“…Results: Including our new case, a total of 48 cases of head and neck lipoblastoma have been reported in the English literature within 23 manuscripts. Four manuscripts presented cases series (Evidence Based Medicine Level 4) and 19 were case reports (Level 5). The median sample size was 1 (range [1][2][3][4].…”

Lipoblastoma arising from the submandibular region

“…For diagnostic approach, history taking, physical examination, CT, magnetic resonance imaging, angiography, and other tests are useful, and we could confirm with excisional biopsy [10]. This tumor should be differentiated with cystic hygroma, congenital dermoid cyst, hematoma, lymphadenoma, and thyroid cancer [11,12]. The treatment of choice is complete surgical resection.…”

Rapidly-growing buccal mass in a 6-month-old infant

“…High signal intensity indicates fat suppression, which unlike subcutaneous fat, could be a potential diagnostic characteristic. 6 Accurate diagnosis of lipoblastoma is imperative as treatment and prognosis are different from those of lipoma and myxoid liposarcoma. The age of the patient is important in diagnosis, as myxoid liposarcomas usually present after 15 years of age and peak during the third decade.…”