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Yu K, Van Dellen J, Idaewor P, Roncaroli F. Intraosseous angiolipoma of the cranium: case report. Neurosurgery 2009; 64:E189-90; discussion E190. [PMID: 19145144 DOI: 10.1227/01.neu.0000335785.12401.8c] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
OBJECTIVE We describe an intraosseous angiolipoma of the cranium and discuss the outcome. Angiolipomas are benign tumors that consist of mature adipose tissue and abnormal vessels. They occur predominantly in the subcutaneous tissue of the trunk and upper limbs. Only 4 examples of intraosseous angiolipomas have been reported in the literature, all of which involved the mandible and ribs. CLINICAL PRESENTATION A 39-year-old man presented with a right parietal swelling. The patient initially refused surgery; thus it was possible to follow this case for 11 years, allowing us to evaluate the natural history of this rare condition. INTERVENTION Complete surgical excision of the intraosseous lesion was achieved with a titanium cranioplasty performed at intervals. Fifteen months after surgery, no recurrence was seen. CONCLUSION This is the first known report of intraosseous angiolipoma of the cranium. Angiolipomas are rare, benign, slow-growing tumors with an excellent prognosis. On preoperative neuroimaging, they may mimic intraosseous angiomas, lipomas, or intraosseous meningiomas. Total resection is curative.
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Affiliation(s)
- Kenny Yu
- Department of Clinical Neuroscience, Charing Cross Hospital, Imperial College Healthcare, National Health Service Trust, London, England, UK.
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102
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Spinal extradural angiolipoma: report of two cases and review of the literature. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2009; 18:324-35. [PMID: 19127373 DOI: 10.1007/s00586-008-0858-8] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2008] [Revised: 10/26/2008] [Accepted: 12/10/2008] [Indexed: 10/21/2022]
Abstract
Spinal angiolipomas are benign uncommon neoplasm composed of mature lipocytes admixed with abnormal blood vessels. They account for only 0.04-1.2% of all spinal tumors. We report two cases of lumbar extradural angiolipoma and review previously reported cases. We found 118 cases of spinal epidural angiolipoma (70 females and 48 males; age range 1.5-85 years, mean 44.03) spanning from 1890 to 2006. Prior to diagnosis 40.6% of the patients had weakness of the lower limbs. The interval between the initial symptoms and tumor diagnosis ranged from 1 day to 17 years (mean 20.2 months). Except for four cases diagnosed at autopsy, 109 patients underwent surgery and gross-total resection was performed in 79 cases (72.4%). Spinal angiolipomas are tumors containing angiomatous and lipomatous tissue, predominantly located in the mid-thoracic region. All angiolipomas show iso- or hyperintensity on T1-weighted images and hyperintensity on T2-weighted images and most lesions enhance with gadolinium administration. The treatment for spinal extradural angiolipomas is total surgical resection and no adjuvant therapy should be administered.
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103
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Kim SY, Kim HH, Kim EH, Kim SY, Jou SS, Han JK, Kim YT. Angiolipoma of the Breast: A Case Report. J Breast Cancer 2009. [DOI: 10.4048/jbc.2009.12.4.344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Shin Young Kim
- Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Hyung Hwan Kim
- Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Eui Han Kim
- Department of Pathology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Sung Yong Kim
- Department of Surgery, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Sung Shick Jou
- Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Jong Kyu Han
- Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
| | - Young Tong Kim
- Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
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104
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Yen HL, Tsai SC, Liu SM. Infiltrating spinal angiolipoma. J Clin Neurosci 2008; 15:1170-3. [PMID: 18701297 DOI: 10.1016/j.jocn.2007.07.084] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2007] [Revised: 07/18/2007] [Accepted: 07/20/2007] [Indexed: 12/12/2022]
Abstract
Infiltrating angiolipomas are rarely encountered in the spine. We present a case involving a 71-year-old man with a dorsal epidural angiolipoma at the T5-T7 level. The tumor involved the T5-T6 vertebral bodies and left pedicle. The patient presented with acute paraparesis and MRI showed a homogeneously hyphointense lesion on T1-weighted images. The epidural component of the tumor was removed via laminectomy to achieve adequate cord decompression. The patient was symptom-free at a 2-year follow-up. This report emphasizes the unusual clinical presentation and MRI features of an infiltrating spinal angiolipoma and discusses therapeutic management options.
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Affiliation(s)
- Han-Lin Yen
- Department of Neurosurgery, Tainan Municipal Hospital, No. 670, Chongde Rd., East District, Tainan City 701, Taiwan.
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105
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Auo HJ, Kang JM. Infiltrating angiolipoma of the nasopharynx: adjacent to an aberrant internal carotid artery. Auris Nasus Larynx 2008; 36:247-50. [PMID: 18602235 DOI: 10.1016/j.anl.2008.05.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2008] [Revised: 03/24/2008] [Accepted: 05/28/2008] [Indexed: 11/29/2022]
Abstract
Infiltrating angiolipomas are tumors consisting of adipose tissue marked by vascular proliferation and are nonencapsulated or partially encapsulated. These tumors are very rare in the head and neck. This is the first case report of infiltrating angiolipoma arising from the nasopharynx causing the Eustachian tube dysfunction. A 29-year-old female presented with a history of earfullness and nasal obstruction. A sessile mass was found at the left superior-lateral wall of the nasopharynx. The mass was excised by a transnasal endoscopic approach. The tumor was adhered to the cavernous sinus containing an aberrant internal carotid artery that was located in an abnormally low portion in the cavernous sinus. The patient is currently free of growth of remained tumor 4 years after endoscopic surgery.
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Affiliation(s)
- Hyeon-Jin Auo
- Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea, Seoul, Republic of Korea
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106
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Rao SS, Panda NK, Saikia UN, Saravanan K. Angiolipoma Presenting as a Nasal Mass: How Rare a Presentation? EAR, NOSE & THROAT JOURNAL 2008. [DOI: 10.1177/014556130808700710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Angiolipomas are benign adipose tumors. There are two types: infiltrating and noninfiltrating. An angiolipoma presenting as a nasal mass is rare. To our knowledge, this is only the second documented case of angiolipoma presenting in the nasal dorsum. Total surgical excision by an external rhinoplasty technique with close follow-up is advised. Recurrence is not common.
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Affiliation(s)
- Sridhara Suryanarayan Rao
- From the Department of Otolaryngology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Naresh K. Panda
- From the Department of Otolaryngology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Uma Nahar Saikia
- Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Karuppiah Saravanan
- From the Department of Otolaryngology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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107
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Abstract
Large subcutaneous angiolipomata were observed bilaterally around the wrists, knees, and ankles in an adolescent boy. Growth had been slow since first noted at age 1 year. The tumors extended deeply between muscles, tendons and joint capsules, but without infiltration of these structures. The tumors recurred after subtotal excision. Muscular hypotrophy and deformation of bones near the affected joints were noted. An 8-year-old sister had similar tumors, suggesting a genetic etiology.
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108
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Grivas TB, Savvidou OD, Psarakis SA, Liapi G, Triantafyllopoulos G, Kovanis I, Alexandropoulos P, Katsiva V. Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature. World J Surg Oncol 2008; 6:11. [PMID: 18234106 PMCID: PMC2267467 DOI: 10.1186/1477-7819-6-11] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2007] [Accepted: 01/30/2008] [Indexed: 12/28/2022] Open
Abstract
Background Soft tissue tumors of the feet are uncommon and there have been very few reports of large series in the literature. These tumors continue to present the clinician with one of the most difficult problems in medicine. Case presentation We present a case of a large multilobular noninfiltrating angiolipoma at the plantar surface of the forefoot. Only three cases occurring at the foot have been previously described. We report this new case due to unusual location of the tumor, the long duration (25 years) of its existence and the unique surgical approach for the tumor excision. Conclusion Surgical excision is the treatment of choice and adjuvant radiotherapy is indicated in select cases.
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Affiliation(s)
- Theodoros B Grivas
- Orthopaedic and Pathology department, Thriasio General Hospital, G, Gennimata Avenue, Magula, 19600 Greece.
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109
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Lapidoth M, Ben Amitai D, Feinmesser M, Akerman L. Capillary malformation associated with angiolipoma: analysis of 127 consecutive clinic patients. Am J Clin Dermatol 2008; 9:389-92. [PMID: 18973405 DOI: 10.2165/0128071-200809060-00005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
BACKGROUND Capillary malformations (also known as port-wine stains) are low-flow vascular malformations of the skin that occur in 0.3% of neonates. Angiolipomas are subcutaneous, benign, usually multiple, lesions, composed of adipose tissue and blood vessels, which occur in young adults. OBJECTIVE The aims of this study were to determine whether there is an association between capillary malformations and angiolipoma, and to describe the characteristics of patients with this association. METHODS Prompted by our finding of an accompanying subcutaneous mass in a patient with capillary malformation, we reviewed the entire pool of 127 patients (71 women, 56 men; average age 22.2 years) attending the Rabin Medical Center (Petach Tikva, Israel) for treatment of nonfacial capillary malformations. All patients underwent a detailed history and comprehensive physical examination. Biopsy samples were taken from suspect lesions. RESULTS In addition to the index patient, four patients were found to have a subcutaneous mass beneath the capillary formation. Imaging and histologic studies identified the mass as an angiolipoma. All of the lesions were relatively refractory to pulsed dye laser or intense pulsed light treatment. CONCLUSION This unique report of an association between capillary malformation and angiolipoma is intended to raise the index of suspicion for underlying angiolipoma in clinicians treating patients with refractory nonfacial capillary malformations.
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Affiliation(s)
- Moshe Lapidoth
- Laser Unit, Department of Dermatology, Rabin Medical Center, Petach Tikva, Israel.
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110
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Abstract
BACKGROUND/OBJECTIVE Spinal angiolipoma (SAL) is an uncommon clinico-pathological entity. DESIGN Single case report. METHODS Retrospective data analysis. FINDINGS An obese woman with a 1-year history of progressive spastic paraparesis and acute deterioration underwent magnetic resonance imaging of the thoracic spine, the results of which suggested a tumor compressing the thoracic spinal cord. The histopathological examination of the completely resected tumor revealed an epidural angiolipoma. CONCLUSIONS This case report offers a reminder that SAL should be considered in the differential diagnosis of long-standing, slowly progressive paraparesis. It remains unclear whether an increased body mass index might be a contributing factor to the development of SAL.
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Affiliation(s)
- Marcel Hungs
- Departament of Neurology, University of California-Irvine, Orange, California 92868, USA.
| | - Laura S Paré
- 2Department of Neurological Surgery, University of California–Irvine, Orange, California
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111
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Guzey FK, Bas NS, Ozkan N, Karabulut C, Bas SC, Turgut H. Lumbar extradural infiltrating angiolipoma: a case report and review of 17 previously reported cases with infiltrating spinal angiolipomas. Spine J 2007; 7:739-44. [PMID: 17998134 DOI: 10.1016/j.spinee.2006.08.014] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2006] [Revised: 07/20/2006] [Accepted: 08/19/2006] [Indexed: 02/08/2023]
Abstract
BACKGROUND CONTEXT Spinal extradural angiolipomas are rare benign tumors, and most of them are noninfiltrating tumors located in the extradural space. However, there are 17 cases with extradural infiltrating spinal angiolipomas extending into the vertebral bodies or posterior vertebral arches in literature. These 17 tumors are mostly located at the thoracic region, and anterior or in the anterolateral extradural space, and they generally infiltrate only one vertebra. Only two of them are located at the lumbar region, four are mainly located in the posterior extradural space, and three infiltrate more than one vertebra. PURPOSE To present an exceptional case with infiltrating extradural spinal angiolipoma involving two lumbar segments and mainly located in the posterior extradural space. STUDY DESIGN A case report. METHODS A 41-year-old woman with infiltrating spinal angiolipoma was treated by incomplete surgical removal of the tumor. RESULTS There were no complaints nor recurrence after 18 months follow-up. CONCLUSIONS Outcome after surgery for spinal angiolipomas is very good overall even in the cases with infiltrating tumors. Although complete removal is certainly preferred, outcomes remained favorable despite incomplete resections.
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Affiliation(s)
- Feyza Karagoz Guzey
- Department of Neurosurgery, Vakif Gureba Training Hospital, Fatih, Istanbul, Turkey.
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112
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Ponniah I, Lavanya N, SureshKumar P. Island of salivary gland in adipose tissue: a report of three cases. J Oral Pathol Med 2007; 36:558-62. [PMID: 17850441 DOI: 10.1111/j.1600-0714.2007.00544.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Although uncommon, many variants of lipomatous lesions in or around salivary glands have been reported in the literature. We report a series of three such cases in the minor salivary gland region. The first case (oral floor) is a well-circumscribed lipocytic lesion admixed with glandular components (mucous acini, serous demilunes and ducts). The second case (alveolar mucosa) is a diffuse lipomatous proliferation with entrapped salivary glandular elements, muscles and blood vessels. The third case (palate) is similar to the first case but the gland is located at the periphery of the lesion. The purpose of the article was to report these three lesions and discuss in relation to other pertaining lipomatous lesions (sialolipoma, lipoadenoma, lipomatosis, lipometaplasia in pleomorphic adenoma and infiltrating lipoma).
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Affiliation(s)
- I Ponniah
- Department of Oral & Maxillofacial Pathology, Tamil Nadu Government Dental College & Hospital, Chennai, India.
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113
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Mesolella M, Di Martino M, Laguardia M, Galera F, Galli V. Angiolipoma of the larynx. Otolaryngol Head Neck Surg 2007; 136:142-3. [PMID: 17210354 DOI: 10.1016/j.otohns.2006.02.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2005] [Accepted: 02/01/2006] [Indexed: 11/19/2022]
Affiliation(s)
- Massimo Mesolella
- ENT Department, University Federico II, via Pansini 5, 80132 Naples, Italy.
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114
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Bancroft LW, Kransdorf MJ, Peterson JJ, O'Connor MI. Benign fatty tumors: classification, clinical course, imaging appearance, and treatment. Skeletal Radiol 2006; 35:719-33. [PMID: 16927086 DOI: 10.1007/s00256-006-0189-y] [Citation(s) in RCA: 85] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2004] [Revised: 07/06/2004] [Accepted: 07/08/2006] [Indexed: 02/07/2023]
Abstract
Lipoma is the most common soft-tissue tumor, with a wide spectrum of clinical presentations and imaging appearances. Several subtypes are described, ranging from lesions entirely composed of mature adipose tissue to tumors intimately associated with nonadipose tissue, to those composed of brown fat. The imaging appearance of these fatty masses is frequently sufficiently characteristic to allow a specific diagnosis. However, in other cases, although a specific diagnosis is not achievable, a meaningful limited differential diagnosis can be established. The purpose of this manuscript is to review the spectrum of benign fatty tumors highlighting the current classification system, clinical presentation and behavior, spectrum of imaging appearances, and treatment. The imaging review emphasizes computed tomography (CT) scanning and magnetic resonance (MR) imaging, differentiating radiologic features.
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Affiliation(s)
- Laura W Bancroft
- Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224-3899, USA
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115
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Dogan S, Arslan E, Sahin S, Aksoy K, Aker S. Lumbar spinal extradural angiolipomas. Two case reports. Neurol Med Chir (Tokyo) 2006; 46:157-60. [PMID: 16565587 DOI: 10.2176/nmc.46.157] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Spinal extradural angiolipomas are benign tumors mostly localized in the thoracic region. A 50-year-old woman and a 36-year-old man presented with rare lumbar spinal angiolipoma manifesting as low back pain but without neurological signs. Magnetic resonance imaging showed lumbar extradural tumors at the L4-5 and L1-2 levels, respectively. Each patient underwent complete surgical resection of the epidural tumors. Histological examination revealed characteristics of angiolipomas in both tumors. The symptoms of both patients improved postoperatively and no recurrence of the tumors was found 1 year after surgery.
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Affiliation(s)
- Seref Dogan
- Department of Neurosurgery, Uludag University Medical Faculty, Bursa, Turkey.
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116
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Konya D, Ozgen S, Kurtkaya O, Pamir NM. Lumbar spinal angiolipoma: case report and review of the literature. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2005; 15:1025-8. [PMID: 16172903 PMCID: PMC3489428 DOI: 10.1007/s00586-005-1028-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2005] [Revised: 08/14/2005] [Accepted: 08/21/2005] [Indexed: 12/22/2022]
Abstract
Spinal angiolipomas are extremely rare benign tumors composed of mature lipomatous and angiomatous elements. Most are symptomatic due to progressive spinal cord or root compression. This article describes the case of a 60-year-old woman who presented with a 6-month history of low back pain radiating to her right leg. The pain was multisegmental. The condition had worsened with time. Lumbar magnetic resonance imaging revealed a dorsal epidural mass at L5 and erosion of the lamina of the L5 vertebra. Laminectomy was performed, and an extradural tumor was totally excised. Neuropathologic examination identified it as a lumbar spinal angiolipoma. There was no evidence of recurrence in follow-up 12 months later. This rare clinical entity must be considered in the differential diagnosis for any spinal epidural lesion.
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Affiliation(s)
- Deniz Konya
- Department of Neurosurgery, Marmara University Hospital, Istanbul, Turkey.
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117
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Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ. From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics 2005; 24:1433-66. [PMID: 15371618 DOI: 10.1148/rg.245045120] [Citation(s) in RCA: 452] [Impact Index Per Article: 23.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Benign lipomatous lesions involving soft tissue are common musculoskeletal masses that are classified into nine distinct diagnoses: lipoma, lipomatosis, lipomatosis of nerve, lipoblastoma or lipoblastomatosis, angiolipoma, myolipoma of soft tissue, chondroid lipoma, spindle cell lipoma and pleomorphic lipoma, and hibernoma. Soft-tissue lipoma accounts for almost 50% of all soft-tissue tumors. Radiologic evaluation is diagnostic in up to 71% of cases. These lesions are identical to subcutaneous fat on computed tomographic (CT) and magnetic resonance (MR) images and may contain thin septa. Lipomatosis represents a diffuse overgrowth of mature fat affecting either subcutaneous tissue, muscle or nerve, and imaging is needed to evaluate lesion extent. Lipoblastoma is a tumor of immature fat occurring in young children, and imaging features may reveal a mixture of fat and nonadipose tissue. Angiolipoma, myolipoma, and chondroid lipoma are rare lipomatous lesions that are infrequently imaged. Spindle cell and pleomorphic lipoma appear as a subcutaneous lipomatous mass in the posterior neck or shoulder, with frequent nonadipose components. Hibernoma appears as a lipomatous mass with serpentine vascular elements. Benign lipomatous lesions affecting bone, joint, or tendon sheath include intraosseous lipoma, parosteal lipoma, liposclerosing myxofibrous tumor, discrete lipoma of joint or tendon sheath, and lipoma arborescens. Intraosseous and parosteal lipoma have a pathognomonic CT or MR appearance, with fat in the marrow space or on the bone surface, respectively. Liposclerosing myxofibrous tumor is a rare intermixed histologic lesion commonly located in the medullary canal of the intertrochanteric femur. Benign lipomatous lesions may occur focally in a joint or tendon sheath or with diffuse villonodular proliferation in the synovium (lipoma arborescens) and are diagnosed based on location and identification of fat. Understanding the spectrum of appearances of the various benign musculoskeletal lipomatous lesions improves radiologic assessment and is vital for optimal patient management.
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Affiliation(s)
- Mark D Murphey
- Department of Radiologic Pathology, Armed Forces Institute of Pathology, 6825 16th St NW, Bldg 54, Rm M-133A, Washington, DC 20306, USA.
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118
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Saydam L, Bozkurt MK, Ugur MB, Ozcelik T, Kutluay L. Angiolipoma of the Neck: A Case Report. EAR, NOSE & THROAT JOURNAL 2005. [DOI: 10.1177/014556130508400620] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Angiolipomas of the neck are extremely rare; to our knowledge, only 2 cases have been previously reported. We report a new case, which occurred in a 28-year-old woman. The mass was totally resected, and the patient showed no recurrence at the 18-month follow-up.
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Affiliation(s)
- Levent Saydam
- Department of Otolaryngology, Bayindir Hospital, Ankara, Turkey
| | | | | | - Tuncay Ozcelik
- Department of Otolaryngology, Bayindir Hospital, Ankara, Turkey
| | - Lale Kutluay
- Department of Pathology, Bayindir Hospital, Ankara, Turkey
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119
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Rabin D, Hon BA, Pelz DM, Ang LC, Lee DH, Duggal N. Infiltrating spinal angiolipoma: a case report and review of the literature. ACTA ACUST UNITED AC 2005; 17:456-61. [PMID: 15385889 DOI: 10.1097/01.bsd.0000109834.59382.d5] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Angiolipomas are rarely encountered in the spine. We report the case of a 47-year-old man with a thoracic angiolipoma involving the T9 vertebral body. A preoperative spinal angiogram confirmed a highly vascular neoplasm. The lesion was treated with endovascular embolization prior to a T9 corpectomy and resection of the epidural component of the tumor. At time of surgery, minimal blood loss occurred during resection of the vertebral body and the epidural mass. Pathologic examination demonstrated features consistent with spinal angiolipoma. This report emphasizes the clinical, radiographic, and pathologic features of infiltrating spinal angiolipoma and discusses therapeutic management options.
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Affiliation(s)
- Doron Rabin
- Department of Clinical Neurological Sciences, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada
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120
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Vilela P, Saraiva P, Goulão A. Intracranial angiolipoma as cause of subarachnoid haemorrhage. Case report and review of the literature. Neuroradiology 2005; 47:91-6. [PMID: 15662498 DOI: 10.1007/s00234-004-1290-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2004] [Accepted: 08/12/2004] [Indexed: 10/25/2022]
Abstract
A 33-year-old female with a longstanding history of seizures was admitted to our hospital with subarachnoid haemorrhage (SAH). Computed tomography (CT), magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) depicted a vascular fat-containing lesion overlying a right frontal cortical polymicrogyria. The diagnosis of angiolipoma was established. Conservatory management was undertaken with full recovery. She has been followed for 5 years since, with neither re-bleeding nor morphologic change of the lesion. This is a rare intracranial lesion, with only 11 intracranial angiolipomas published in the literature, and is the first case reported which is associated with SAH caused by this lesion.
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Affiliation(s)
- P Vilela
- Serviço de Neurorradiologia, Hospital Garcia de Orta, Av. Prof. Torrado Silva. Pragal, 2801-591, Almada, Portugal.
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121
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Rocchi G, Caroli E, Frati A, Cimatti M, Savlati M. Lumbar spinal angiolipomas: report of two cases and review of the literature. Spinal Cord 2004; 42:313-6. [PMID: 15123997 DOI: 10.1038/sj.sc.3101535] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
STUDY DESIGN Case report and review of the literature. OBJECTIVES To describe two patients with angiolipoma in the ventral aspect of the lumbar epidural space, to discuss the clinical, radiologic, and surgical features of these lesions, and to review previously reported cases. SETTING Rome, Italy. METHODS Two cases, a 60-year-old man and a 54-year-old woman presented with lumbar-sciatic pain but with no abnormal neurological signs. Investigation (CT and MRI) demonstrated lumbar tumours. RESULTS Laminectomy and excision of the tumors were performed, and symptoms improved immediately. CONCLUSIONS Magnetic resonance imaging with suppression fat sequences allows the recognition of these lesions. The prognosis after surgical removal of spinal angiolipoma is favorable.
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Affiliation(s)
- G Rocchi
- Department of Neurological Sciences, Neurosurgery, University of Rome La Sapienza, Italy
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122
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Choong KKL. Sonographic appearance of subcutaneous angiolipomas. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2004; 23:715-717. [PMID: 15154541 DOI: 10.7863/jum.2004.23.5.715] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- Kevin K L Choong
- Department of Nuclear Medicine and Ultrasound, Westmead Hospital, Westmead, New South Wales, Australia.
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123
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Alobid I, Benítez P, Berenguer J, Bernal-Sprekelsen M, Mullol J. Parapharyngeal angiolipoma causing obstructive sleep apnoea syndrome. Acta Otolaryngol 2004; 124:210-2. [PMID: 15072427 DOI: 10.1080/00016480310015722] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Obstructive sleep apnoea syndrome (OSAS) is the cessation of airflow with the continuance of respiratory effort during sleep. OSAS associated with a neck mass is extremely rare. Angiolipoma is a rare, benign, fatty tumour composed of mature lipocytes and multiple areas containing angiomatous elements. The treatment for an angiolipoma is surgical excision. We report the case of a 47-year-old male who presented with a history of loud snoring associated with sleep apnoea. A polysomnographic study demonstrated an apnoea-hypopnoea index of 72/h. CT showed a 3.5 x 3 x 8 cm3 hypoattenuated mass of fat density in the left parapharyngeal space causing an impression on the nasopharynx and oropharynx with a peripheral hyperintense area. A cervical transparotid surgical approach was used. A histological study led to the definitive diagnosis of angiolipomal without evidence of malignancy. After surgery, the snoring disappeared and the patient remained tumour-free after 54 months of follow-up. This is the first case in the literature of a patient with nocturnal polysomnographic-documented OSAS caused by a left parapharyngeal angiolipoma.
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Affiliation(s)
- Isam Alobid
- Rhinology Unit, Department of Otorhinolaryngology, Hospital Clinic, Barcelona, Spain.
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124
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125
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Abstract
Lipoma in retropharyngeal space is rare. A case of lipoma in the retropharyngeal space of a paediatric patient is reported with characteristic radiological findings along with surgical management.
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Affiliation(s)
- A M Shivakumar
- Department of Otolaryngology - Head and Neck Surgery, J.J.M. Medical College, Davangere, Karnataka, India
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126
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do Souto AA, Domingues FS, Chimelli L, Lemos AM. Lumbosacral angiolipoma: case report. ARQUIVOS DE NEURO-PSIQUIATRIA 2003; 61:269-73. [PMID: 12806510 DOI: 10.1590/s0004-282x2003000200021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
We present a case of a 46-year old woman with a ventral epidural angiolipoma at the lumbosacral level with erosion of the sacrum. About ninety cases of spinal angiolipomas have been previously described in the literature, most of them situated on the thoracic region, dorsal to the dural sac. Angiolipomas can be radically excised with a good prognosis even in the presence of bone erosion. We did not find any other angiolipoma at the sacral level surgically explored in the review of the literature.
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Affiliation(s)
- Antonio Aversa do Souto
- Servi o de Neurocirurgia, Hospital Universit rio Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
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127
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Abstract
OBJECTIVE To present the first documented case of an angiolipoma of the maxillary sinus, our treatment of the patient, and the 1-year follow-up results. At the conclusion of the report, the reader should be able to discuss the incidence, treatment options, and long-term prognosis of angiolipomas of the paranasal sinuses. STUDY DESIGN A case study reporting on a single patient with the diagnosis of maxillary sinus angiolipoma. METHODS Review of diagnostic studies, the operative technique, and the patient's chart for the 1-year period after treatment. RESULTS The patient remains free of disease 1 year after definitive surgical treatment. CONCLUSIONS Angiolipomas are exceedingly rare in this location. The accepted treatment for this disease in other regions of the body consists of wide local excision with close follow-up. The extent of the disease found in this patient required a medial maxillectomy for en bloc resection. We would advocate such an approach for other physicians who are faced with a patient with this rare diagnosis.
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Affiliation(s)
- Travis J Pfannenstiel
- Department of Otolaryngology, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200, USA
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128
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Levitt J, Lutfi Ali SA, Sapadin A. Multiple subcutaneous angiolipomas associated with new-onset diabetes mellitus. Int J Dermatol 2002; 41:783-5. [PMID: 12453005 DOI: 10.1046/j.1365-4362.2002.01445.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Jacob Levitt
- Department of Dermatology, Mount Sinai School of Medicine, New York, USA
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129
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Pinto-Rafael JI, Vázquez-Barquero A, Martín-Laez R, García-Valtuille R, Sanz-Alonso F, Figols-Guevara FJ, Pérez-Castro MC, Abascal F, Cerezal L. [Spinal angiolipoma: case report]. Neurocirugia (Astur) 2002; 13:321-5. [PMID: 12355656 DOI: 10.1016/s1130-1473(02)70609-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Spinal extradural angiolipomas are rare benign tumours, accounting for only 0.14-1.2% of all spinal neoplasms. They are usually localized within the thoracic extradural space of the spinal canal and their common clinical presentation is myelopathy, mainly in the way of a slowly progressive paraparesis and sometimes in an acute form. We report the case of a 85 year old man who complained of bilateral lower limb weakness with sphincter disturbance of acute instauration. The MRI showed a posterior extradural lesion at L1-L2 level that compressed conus medularis and cauda equina. He underwent urgent surgical treatment and we achieved total resection of the lesion via a L1-L2 laminectomy. The pathological examination confirmed the tumour as an angiolipoma.
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Affiliation(s)
- J I Pinto-Rafael
- Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander
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130
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Garg A, Gupta V, Gaikwad S, Deol P, Mishra NK, Sharma MC, Vaish S. Spinal angiolipoma: report of three cases and review of MRI features. AUSTRALASIAN RADIOLOGY 2002; 46:84-90. [PMID: 11966595 DOI: 10.1046/j.1440-1673.2001.01001.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report three cases of spinal angiolipoma, two intramedullary and one epidural, and review their MRI features. Diagnoses were established preoperatively in all cases. Specific MRI features including the importance of postgadolinium fat-saturated T1-weighted images and presence of vascular flow-voids are discussed with histopathological correlation. A characteristic morphological appearance of intramedullary angiolipoma has been suggested.
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Affiliation(s)
- Ajay Garg
- Department of Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
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131
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Abstract
Facial infiltrating lipomatosis is a rare congenital disorder in which mature lipocytes invade adjacent tissue. The phenotypic features include soft-tissue and skeletal hypertrophy, premature dental eruption, and regional macrodontia. There is a high risk for regrowth after resection that is, perforce, subtotal. The etiology, natural history, optimal management, and relationship to other disorders of fatty overgrowth are unclear. In this study, the clinical features, radiographic findings, histopathology, and postoperative results were analyzed in 13 patients with facial infiltrating lipomatosis. The condition was diagnosed in infancy (eight male subjects, five female subjects) and characterized by enlargement of the cheek (n = 12) or chin (n = 1). Other findings included cutaneous capillary blush (n = 9), ipsilateral macroglossia (n = 8), and mucosal neuromas (n = 6). Most patients had early eruption of ipsilateral deciduous and permanent teeth (n = 12). Computed tomography and magnetic resonance imaging showed an infiltrated soft-tissue mass of fatty density (n = 13) and skeletal overgrowth (n = 9). Multiple resection was performed on six patients (mean number of operations per patient, 2.5; range, one to six operations); regrowth and/or worsening of the capillary stain occurred in all six patients. Because surgical removal of the mass is usually unsuccessful, specific management of this condition will require insight into its etiopathogenesis. Given the presence of mucosal neuromas and lipomatosis, this study included testing for the known mutations in three entities that are associated with these soft-tissue findings (Cowden syndrome, Bannayan-Riley-Ruvalcava syndrome, and multiple endocrine neoplasia type 2B). Results of DNA analyses for these germline mutations were negative. It is more likely that this disorder is caused by a somatic mutation involving a local increase in growth factor(s).
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Affiliation(s)
- B L Padwa
- Craniofacial Centre and Division of Plastic and Oral Surgery at Children's Hospital, Harvard School of Dental Medicine and Harvard Medical School, Boston, MA 02115, USA
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132
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Abstract
BACKGROUND Spinal epidural angiolipoma is a rare cause of spinal cord compression. We present a case and review the clinical presentation, radiological appearance, pathological aspects and treatment of this distinct clinico-pathological entity. METHODS A case of a 46-year-old woman with a five-month history of progressive myelopathy affecting her lower extremities is presented. CT and MRI revealed a large epidural fat-containing mass compressing the spinal cord dorsally at the T7-T8 level. A laminectomy was performed with gross total resection of the lesion. RESULTS The patient's neurologic symptoms improved postoperatively. A two-year follow-up period has revealed no signs of tumor recurrence and no neurological deficit. CONCLUSION The diagnosis of spinal angiolipoma should be considered in the differential diagnosis of spinal cord compression. Magnetic resonance imaging is the investigation of choice. The surgical objective is complete excision but, for anterior lesions involving bone, an overly aggressive approach should be tempered by an awareness of the overall indolent natural history of so-called "infiltrating" spinal angiolipomas that are only partially excised.
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Affiliation(s)
- D R Fourney
- Division of Neurosurgery, Royal University Hospital, Saskatoon, Saskatchewan, Canada
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133
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Técnicas de imagen en el estudio de las lesiones lipomatosas cervicales. RADIOLOGIA 2001. [DOI: 10.1016/s0033-8338(01)76917-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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134
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Ferrozzi F, Tognini G, Bova D, Pavone P. Lipomatous tumors of the stomach: CT findings and differential diagnosis. J Comput Assist Tomogr 2000; 24:854-8. [PMID: 11105700 DOI: 10.1097/00004728-200011000-00006] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
This article reviews the computed tomography imaging features of a variety of gastric tumors containing fatty tissue. Lipoma, angiolipoma, liposarcoma, and teratoma are described. Differential diagnosis includes primary and reactive lipomatosis, carcinoma engulfing the perivisceral fat thus mimicking differentiated liposarcoma, and mesenchymal gastric and peritoneal neoplasms.
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Affiliation(s)
- F Ferrozzi
- Istituto di Scienze Radiologiche-Università degli Studi di Parma, Italy.
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135
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Abstract
Angiolipomas are neoplasms composed of mature adipocytes admixed with abnormal vascular elements. They are most commonly found in the subcutaneous tissue of the trunk and extremities, but other sites have been reported. The craniospinal axis is an uncommon but significant site. An extensive review of the literature is conducted. We summarize 94 cases of angiolipomas in the central nervous system (CNS) in 92 patients, including five in our own series, to highlight the most prominent features of these tumors. The increasing number of cases of CNS angiolipoma in the era of magnetic resonance imaging raises the question of the rarity of these lesions.
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Affiliation(s)
- N Andaluz
- Department of Neurosurgery, The Neuroscience Institute, Cincinnati, OH, USA
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136
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Abstract
Intramuscular hemangioma is an uncommon tumor that usually involves an extremity. They rarely occur after the age of 30. We report a case of an intramuscular hemangioma occurring on the back of a 39-year-old man. Histopathologically, the tumor consisted mainly of large vessels between the muscle fibers. Phleboliths were observed in some of the vessel walls.
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Affiliation(s)
- Y C Kim
- Department of Dermatology, College of Medicine, Dankook University Hospital, Cheonan, Korea
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137
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Abstract
Angiolipomas are rare benign mesenchymal tumours that are distinguished from common lipomas by a marked degree of vascularisation. They are differentiated into non-infiltrating and the even less frequent infiltrating angiolipomas. The present case is the 9th report of an infiltrating angiolipoma of the head and neck. The patient was a 63-year-old man with an infiltrating angiolipoma of the left M. temporalis. Microscopic examination showed univacuolated adipose cells mixed with capillaries invading skeletal muscle. The patient has been free of recurrence since excision of the tumor.
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Affiliation(s)
- S Hoeft
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Kiel, Arnold-Heller-Str. 14, 24105, Kiel, Germany
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138
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Hamakawa H, Hino H, Sumida T, Tanioka H. Infiltrating angiolipoma of the cheek: a case report and a review of the literature. J Oral Maxillofac Surg 2000; 58:674-7. [PMID: 10847292 DOI: 10.1016/s0278-2391(00)90166-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- H Hamakawa
- Department of Oral and Maxillofacial Surgery, Ehime University School of Medicine, Japan.
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139
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Darling MLR, Babagbemi TO, Smith DN, Brown FM, Lester SC, Meyer JE. Mammographic and Sonographic Features of Angiolipoma of the Breast. Breast J 2000; 6:166-170. [PMID: 11348359 DOI: 10.1046/j.1524-4741.2000.99064.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The mammographic and sonographic appearance of angiolipomas of the breast is presented. This rare benign variant of lipoma usually presents as a painless breast mass. The imaging characteristics of angiolipomas of the breast are variable, overlapping with both other benign breast neoplasms and with malignancies. The most common mammographic appearance of angiolipomas of the breast in this series was an oval or round, isodense, circumscribed mass. The most common sonographic features were oval shape, circumscribed borders, and iso- to slight hyperechogenicity. These imaging features are nonspecific and biopsy is required for definitive diagnosis.
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140
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Choi JY, Goo JM, Chung MJ, Kim HC, Im JG. Angiolipoma of the posterior mediastinum with extension into the spinal canal: a case report. Korean J Radiol 2000; 1:212-4. [PMID: 11752957 PMCID: PMC2718203 DOI: 10.3348/kjr.2000.1.4.212] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Angiolipoma is a rare benign soft tissue tumor, an unusual variant of lipoma, consisting of fatty and vascular components and located in the subcutis, usually in the trunk and extremities. We report a case of posterior mediastinal angiolipoma extending into the spinal canal and showing both fat and angiomatous features on CT scan.
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Affiliation(s)
- Ja-Young Choi
- Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC, Korea
| | - Jin Mo Goo
- Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC, Korea
| | - Myung Jin Chung
- Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC, Korea
| | - Hyo-Cheol Kim
- Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC, Korea
| | - Jung-Gi Im
- Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC, Korea
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141
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Penrose-Stevens A, Pitman I, Powell N, Redfern R. Angiolipoma del tronco del encéfalo. Caso clínico y revisión de la literatura. Neurocirugia (Astur) 2000. [DOI: 10.1016/s1130-1473(00)70962-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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142
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Cheung YC, Wan YL, Ng SH, Ng KK, Lee KF, Chao TC. Angiolipoma of the breast with microcalcification. Mammographic, sonographic, and histologic appearances. Clin Imaging 1999; 23:353-5. [PMID: 10899416 DOI: 10.1016/s0899-7071(00)00165-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Angiolipoma of the breast is a rare benign fatty tumor that can be mammographically confused with breast carcinoma. We herein report such a case presenting as a partial obscured mass with microcalcification on mammogram. Sonogram revealed an encapsulated hyperechoic nodule with homogeneous internal echo. Microscopic evaluation revealed abundant adipose tissues with evidence of proliferating vessels and intravascular hyaline thrombi. To our knowledge, angiolipomas of the breast containing microcalcification secondary to intravascular thrombi had not been previously reported.
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Affiliation(s)
- Y C Cheung
- Departments of Diagnostic Radiology, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Tao Yuan Hsien,., Kwei Shan Hsiang, Taiwan
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143
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Sugiura J, Fujiwara K, Kurahashi I, Kimura Y. Infiltrating angiolipoma of the mucolabial fold: a case report and review of the literature. J Oral Maxillofac Surg 1999; 57:446-8. [PMID: 10199497 DOI: 10.1016/s0278-2391(99)90287-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- J Sugiura
- Department of Oral Pathology, Ohu University School of Dentistry, Koriyama, Fukushima, Japan
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144
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Lerosey Y, Choussy O, Gruyer X, François A, Marie JP, Dehesdin D, Andrieu-Guitrancourt J. Infiltrating lipoma of the head and neck: a report of one pediatric case. Int J Pediatr Otorhinolaryngol 1999; 47:91-5. [PMID: 10206400 DOI: 10.1016/s0165-5876(98)00173-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Infiltrating lipomas are rare benign tumors. Several cases have previously been reported in the oral cavity but only three cases have been reported to date in children. We report a case of a 7-year-old child with an infiltrating lipoma of the neck and a posterior extension to the fourth and fifth cervical roots and the vertebral artery. The absence of any neurological signs, negative clinical and radiological examination results, as well as, the surgical risk of total removal and high rate of recurrence suggested a period of watchful waiting. After 5 years, the patient's clinical and radiological characteristics remain stable. A review of the literature regarding this pathology in the head and neck area, in both children and adults is also presented.
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Affiliation(s)
- Y Lerosey
- Department of Pediatric Otorhinolaryngology, Rouen University Hospital, France
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145
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Misago N, Tanaka T, Kodera H, Narisawa Y. Localized soft tissue angiomatosis with subsequent development of angiolymphoid hyperplasia with eosinophilia. J Dermatol 1999; 26:48-55. [PMID: 10063213 DOI: 10.1111/j.1346-8138.1999.tb03509.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
We report an unusual case of arteriovenous (AV) malformation (localized form of soft tissue angiomatosis): a reaction of angiolymphoid hyperplasia with eosinophilia (ALHE) developed over the lesion of this pre-existing AV malformation. To the best of our knowledge, there is no other report of ALHE in association with a pre-existing bona fide AV malformation. A 71-year-old woman consulted our clinic because a reddish, dome-shaped tumor on her preauricular region, present as a slightly elevated, skin-colored tumor since her childhood, had rapidly enlarged and become more elevated with color change during the preceding two months. The histological features of most of the lesion corresponded to those of soft tissue angiomatosis (localized form). The proliferative vessels underlying the soft tissue angiomatosis streamed out and welled into the dermis with an accompanying prominent inflammatory infiltrate composed of lymphoid cells and eosinophils: these histological features were characteristic of ALHE. The recent abrupt clinical changes in the tumor were considered to represent a reaction to the angiomatosis with development of ALHE.
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Affiliation(s)
- N Misago
- Department of Internal Medicine, Saga Medical School, Japan
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146
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147
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Shohet JA, Simpson B, Coleman JR, Geiger XJ. Angiolipoma presenting as a nasal mass. Otolaryngol Head Neck Surg 1998; 118:848-9. [PMID: 9627247 DOI: 10.1016/s0194-5998(98)70279-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- J A Shohet
- Department of Otolaryngology, Vanderbilt University, Nashville, Tennessee, USA
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148
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Pirotte B, Krischek B, Levivier M, Bolyn S, Brucher JM, Brotchi J. Diagnostic and microsurgical presentation of intracranial angiolipomas. Case report and review of the literature. J Neurosurg 1998; 88:129-32. [PMID: 9420085 DOI: 10.3171/jns.1998.88.1.0129] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Angiolipomas (ALs) are hamartomas composed of abnormally differentiated vessels and mature adipose tissue. Although they are most commonly found in peripheral tissues, ALs sometimes grow in the spinal epidural space. Intracranial ALs (ICALs) are rare: only seven cases have been reported in the literature. The authors describe the case of a 70-year-old woman who presented with ocular symptoms from a clinically and radiologically progressing parasellar ICAL. The radiological as well as the microsurgical findings are illustrated and compared with the seven previously published cases. The most frequent location of ALs is the skull base, especially the parasellar region. Other ICALs were diagnosed as components of cerebral arteriovenous malformations and were not symptomatic by themselves. Neuroradiological studies of ICALs usually demonstrate the characteristics of both adipose and vascular tissues. However, a review of the literature shows that the diagnosis had not been suspected preoperatively in any of the cases. Operative descriptions emphasize that most neurosurgeons were caught off guard by the profuse bleeding and the unusual relationship of this unexpected lesion to the cavernous sinus, so that removal was rarely complete. The authors conclude that preoperative diagnosis of ICALs is achievable based on magnetic resonance analysis, which should help optimize the microsurgical management of these lesions.
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Affiliation(s)
- B Pirotte
- Department of Neurosurgery, Université Libre de Bruxelles, Erasme Hospital, Brussels, Belgium
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149
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Hisa T, Taniguchi S, Nishimura T, Nakanishi T, Wakasa K, Kakudo K, Hirachi Y, Takigawa M. Mobile fat; three stages? Australas J Dermatol 1996; 37:223-4. [PMID: 8961596 DOI: 10.1111/j.1440-0960.1996.tb01063.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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150
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Trabulo A, Cerqueira L, Monteiro J, Roque P, Reis FC, Coelho MR. Spinal angiolipomas revisited: two case reports. Acta Neurochir (Wien) 1996; 138:1311-9. [PMID: 8980735 DOI: 10.1007/bf01411061] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Approximately 60 cases of spinal angiolipomas have been described in the medical literature. Extradural tumours predominate. Lesions with a bony component, the infiltrating subgroup, were reported in 10 patients. Intradural angiolipomas were found three times. Several excellent review articles are available, but a systematic comparison of the characteristics of the two major varieties, infiltrating and non-infiltrating spinal extradural angiolipomas, has not so far been made. The authors operated on two patients with spinal angiolipomas and found one of them the infiltrating and the other the non-infiltrating type. Then, they proceeded to a review of all publish cases of infiltrating angiolipomas. With a knowledge of recently reported data on the subject the authors compared essential clinical features of both varieties of tumours. They share identical clinical characteristics. Differences found in age, sex or location were not statistically significant. Mode of onset and signs and symptoms present on admission were essentially similar. As could be anticipated, removal was more often complete in non-infiltrating tumours, but outcome was good or fair in more than 85% of cases in both groups. Involvement of bone by spinal angiolipomas does not imply a worsening in the prognosis.
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Affiliation(s)
- A Trabulo
- Department of Neurosurgery, Hospital de Santo António dos Capuchos, Lisboa, Portugal
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