Wisepatern mastopexy for natural breast ptosis symmetrization after giant lipoma excision: Case report

Giant breast lipoma: A case report

“…Lipoma is the most common benign neoplasm originating from adipose tissue, it constitute approximately 16 % of all mesenchymal tumors, with a prevalence rate of 2.3 cases per 1000 individuals [ 2 ]. It can occur in any parts of the body, most commonly found in the trunk, upper extremity, legs, and estimated about 20 % in the chest wall [ 4 ]. The breast is paradoxically described as a common and uncommon site for this pathology [ 1 ] [ 5 ].…”

“…It characterized by a slow-growing mass causing breast enlargement and distortion, and occasionally leads to discomfort or pain. Breast lipoma is classified as a giant lipoma if its size exceeds 10 cm in any one dimension or weighs at least 1000 g [ 4 ]. Giant breast lipoma can be difficult to diagnose as they may be confused with other breast masses, such as fibroadenomas, phyllodes tumors, duct papilloma and malignant lump [ 2 ].…”

“…Giant lipomas of the breast generally present as well-defined, smooth, and possibly slightly lobulated masses. These tumors are usually soft or semi-firm to the touch and can be mobile when palpated [ 4 ]. Fat necrosis of the breast is a benign pathology, however, post-traumatic fat necrosis can have variable manifestations that may sometimes mimic malignancy, depending on its stage of evolution [ 6 ].…”

“…A liposuction technique is more attractive especially in areas where larger scars should be avoided because of the potential for improving cosmetic results. However, it has been shown to increase the risk of recurrence, paraesthesias, edema, numbness and hematoma formation due to incomplete capsule removal [ 2 ] [ 4 ]. Another challenge for aesthetic surgeons is the potential requirement for breast reconstruction to prevent asymmetry in such cases.…”