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Macchini D, Perano V, Celoria V, Bombardieri E, Goletti O. Robotic-assisted resection of pelvic mesorectum lipoma during the COVID-19 pandemic: a case report. J Surg Case Rep 2022; 2022:rjac113. [PMID: 35712609 PMCID: PMC9197174 DOI: 10.1093/jscr/rjac113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 03/07/2022] [Indexed: 11/20/2022] Open
Abstract
Mesorectal lipoma is a rare, usually asymptomatic tumor. The best treatment is R0 resection but the previous literature reports different approaches. Robotic surgery allows for an accurate intervention, with a faster postoperative course, less risk of infection and need for transfusions, a faster return to normal daily activities and the best esthetic result. We describe a case of a 43-year-old female with a large lipoma with dislocation of the vagina, rectum and distal sigmoid colon, potentially malignant, successfully treated by robotic excision, which was safe, effective and well tolerated by the patient.
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Affiliation(s)
- Daniele Macchini
- Department of General Surgery , Humanitas Gavazzeni, Bergamo, Italy
- School of General Surgery , Humanitas University, Rozzano, Italy
| | - Vittoria Perano
- School of General Surgery , Humanitas University, Rozzano, Italy
| | | | | | - Orlando Goletti
- Department of General Surgery , Humanitas Gavazzeni, Bergamo, Italy
- School of General Surgery , Humanitas University, Rozzano, Italy
- Translational Research Department , University of Pisa, Pisa, Italy
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2
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Fourati K, Masmoudi A, Zouari A, zouari R, Bradai J, Najmeddine H, Boujelbene S. Mesenteric lipoma revealed by chronic abdominal pain: A rare case report. Clin Case Rep 2022; 10:e05779. [PMID: 35474979 PMCID: PMC9020441 DOI: 10.1002/ccr3.5779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 04/10/2022] [Accepted: 04/12/2022] [Indexed: 11/30/2022] Open
Abstract
Mesenteric lipoma is a rare entity. It can be asymptomatic or revealed by unspecific clinical symptoms. Complete resection of the lipoma is often proposed to prevent complications. We report a case of mesenteric lipoma revealed by chronic abdominal pain, and we performed a literature review regarding this rare condition.
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Affiliation(s)
- Kais Fourati
- General surgery Department Habib Bourguiba Hospital Sfax Tunisia
| | | | - Amine Zouari
- General surgery Department Habib Bourguiba Hospital Sfax Tunisia
| | - Rami zouari
- General surgery Department Habib Bourguiba Hospital Sfax Tunisia
| | - Jawhar Bradai
- Radiology Department Habib Bourguiba Hospital Sfax Tunisia
| | | | - Salah Boujelbene
- General surgery Department Habib Bourguiba Hospital Sfax Tunisia
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3
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Letica-Kriegel AS, Cramm SL, Moran CJ, Dunn-Albanese L, Jobbagy S, Westra SJ, Ryan D. Mesenteric hibernoma in a pediatric patient present on prenatal ultrasound. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2021.102163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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4
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Maree G, Gawrieh B, Omran A, Ali W. A rare lipoma site in a 1-year-old boy. J Surg Case Rep 2021; 2021:rjab447. [PMID: 34729165 PMCID: PMC8557646 DOI: 10.1093/jscr/rjab447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 08/19/2021] [Accepted: 09/15/2021] [Indexed: 11/13/2022] Open
Abstract
Lipomas are benign tumors composed of mature adipocytes. A 1-year-old-male baby was admitted to the hospital with a history of an abdominal mass, which had been incidentally detected by a local pediatrician. upon examining the child for a complaint of distention and chronic diarrhea. An ultrasound and computed tomography scan were performed, and findings revealed a fat mass, which was confirmed by laparotomy and microscopic results. At laparotomy, a soft yellow mass was found attached to the mesentery of the jejunum. The mass was enucleated without anastomosis, and the patient was followed up 4 months postoperatively with regular clinical examination and abdominal ultrasonography. This case was examined and reported in this study because lipomas are very rarely present in the mesentery of the intestine, especially at this early age.
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Affiliation(s)
- Gulan Maree
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Bardisan Gawrieh
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Ammar Omran
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Wajih Ali
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
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5
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Mouna C, Dhafer H, Meryam M, khedhiri N, Benzarti Y, Anis BM. A pitfall in the diagnosis of acute abdomen causing by mesenteric lipoma. INTERNATIONAL JOURNAL OF SURGERY OPEN 2021. [DOI: 10.1016/j.ijso.2021.100395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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6
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Jendouzi O, Boukhlifi Y, Houadfi OE, Essaoudi MA, Alami M, Ameur A. Bladder lipoma: Moroccan case report. Pan Afr Med J 2020; 37:380. [PMID: 33796193 PMCID: PMC7992428 DOI: 10.11604/pamj.2020.37.380.25672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 12/27/2020] [Indexed: 11/11/2022] Open
Abstract
Lipomas are encapsulated benign tumors typically found in the integument, central nervous system or gastrointestinal tract and represent the most common benign mesenchymal neoplasm in adults. Bladder lipoma is a rare tumor that has been reported in a handful of cases in medical literature. A literature review from PubMed, MEDLINE, EMBASE and Cochrane databases of bladder lipoma yielded less than 20 cases. We report a case of a 69 year-old Moroccan male patient with hematuria as a chief symptom. The diagnosis of bladder lipoma was suspected by flexible fibroscopy and assessed by transurethral resection. Macroscopic and histological examination revealed a lipomatous tumour with no sign of malignancy. There was no recurrence after one year of follow-up. Although bladder lipomas are rare entities, they must be considered in the differential diagnosis of bladder tumor. However, we should always keep in mind that any bladder tumor is malignant until proven otherwise.
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Affiliation(s)
- Omar Jendouzi
- Department of Urology, Military Teaching Hospital Rabat, Rabat, Morocco
| | - Younes Boukhlifi
- Department of Urology, Military Teaching Hospital Rabat, Rabat, Morocco
| | | | | | - Mohamed Alami
- Department of Urology, Military Teaching Hospital Rabat, Rabat, Morocco
| | - Ahmed Ameur
- Department of Urology, Military Teaching Hospital Rabat, Rabat, Morocco
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Abstract
Mesenteries are extensions of the visceral and parietal peritoneum consisting of fat, vessels, nerves, and lymphatics. Mesenteric masses have a wide differential diagnosis with neoplastic, infectious, or inflammatory etiologies and can either be solid or cystic. Imaging features are critical for the diagnosis. We review the epidemiology, imaging spectrum, and differentiating features and treatment of mesenteric masses.
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Hashizume N, Aiko T, Fukahori S, Ishii S, Saikusa N, Koga Y, Higashidate N, Sakamoto S, Tsuruhisa S, Nakahara H, Muta H, Miyoshi H, Naito Y, Yamamoto H, Oda Y, Tanaka Y, Yagi M. Benign mesenteric lipomatous tumor in a child: a case report and literature review. Surg Case Rep 2020; 6:243. [PMID: 32997268 PMCID: PMC7527397 DOI: 10.1186/s40792-020-01020-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 09/21/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Lipomatous tumors are the most common type of soft-tissue tumors. Benign lipomatous tumors are lipomas and lipoblastoma. We herein report a case of benign mesenteric lipomatous tumor and the largest collection of known benign mesenteric lipomatous tumors in children in the literature. CASE PRESENTATION A 3-year-old girl presented with repeated dull abdominal pain and left abdominal mass swelling. On a physical examination, the child had a soft, moderately distended left abdomen that was not tender when palpated. Computed tomography and magnetic resonance imaging demonstrated a large fatty mass within the mesentery, measuring approximately 8 × 6 cm. The mass extended from the right upper quadrant to the lower pole of the kidneys. Laparotomy with resection of the mesenteric tumor was performed under general anesthesia. A well-capsuled tumor was a soft, yellow mass and found loosely attached to the mesenterium of the ileum. A histopathological examination demonstrated the lobular proliferation of mature adipocytes. Atypical lipoblasts were not seen. These features are compatible with benign lipomatous tumor, such as lipoma or lipoblastoma with maturation. CONCLUSION In conclusion, benign mesenteric lipomatous tumors tend to be large in size over 10 cm in longitudinal length. However, resection is well tolerated in the vast majority of cases with benign post-operative courses.
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Affiliation(s)
- Naoki Hashizume
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
| | - Takato Aiko
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Suguru Fukahori
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Shinji Ishii
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Nobuyuki Saikusa
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Yoshinori Koga
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Naruki Higashidate
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Saki Sakamoto
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Shiori Tsuruhisa
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Hirotomo Nakahara
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Hiroko Muta
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Hiroaki Miyoshi
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Yoshiki Naito
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Hidetaka Yamamoto
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Higashku umade 3-1-1, Fukuoka, 812-8582, Fukuoka, Japan
| | - Yoshinao Oda
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Higashku umade 3-1-1, Fukuoka, 812-8582, Fukuoka, Japan
| | - Yoshiaki Tanaka
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.,Division of Medical Safety Management, Kurume University Hospital, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Minoru Yagi
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
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Njami VA, Titcheu F, Yaouba T. Toxic association between an intestinal myxoma and a mesenteric lipoma in a child: a case report. J Surg Case Rep 2018; 2018:rjy007. [PMID: 29492248 PMCID: PMC5824780 DOI: 10.1093/jscr/rjy007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 01/12/2018] [Indexed: 11/13/2022] Open
Abstract
Intestinal myxoma is among the rarest presentations of this benign tumour. Moreover, the association of an intestinal myxoma and a mesenteric lipoma is even more surprising. Intestinal tumours are often diagnosed inadvertently: a routine physical exam may identify these tumours or an abdominal computed tomography scan or abdominal ultrasound for another indication. Acute intestinal obstruction is rare. We hereby report the case of a 6-year-old boy who presented in the emergency room of our institution with acute intestinal obstruction and the management of this case.
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Affiliation(s)
| | - Flobert Titcheu
- Surgery Department, St. Jean de Malte Hospital, Njombé 56, Cameroon
| | - Thierry Yaouba
- Surgery Department, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
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10
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Yang TW, Tsuei YW, Kao CC, Kuo WH, Chen YL, Lin YY. Torsion of a Giant Antimesenteric Lipoma of the Ileum: A Rare Cause of Acute Abdominal Pain. AMERICAN JOURNAL OF CASE REPORTS 2017; 18:589-592. [PMID: 28550278 PMCID: PMC5455808 DOI: 10.12659/ajcr.903574] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Patient: Male, 67 Final Diagnosis: Torsion of a giant antimesenteric lipoma of the ileum Symptoms: Acute abdomen Medication: — Clinical Procedure: En bloc segmental resection with end-to-end anastomosis Specialty: Surgery
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Affiliation(s)
- Ta-Wei Yang
- Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
| | - Yi-Wei Tsuei
- Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
| | - Chung-Cheng Kao
- Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
| | - Wen-Hsien Kuo
- Department of Surgery, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
| | - Yan-Lin Chen
- Department of Radiology, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
| | - Yen-Yue Lin
- Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, National Defense Medical Center, Taoyuan, Taiwan
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11
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Hida M, Azahouani A, Elazzouzi D, Benhaddou H. [Giant mesenteric lipoma in children: A case-report]. Arch Pediatr 2017; 24:457-459. [PMID: 28359684 DOI: 10.1016/j.arcped.2017.02.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 10/11/2016] [Accepted: 02/15/2017] [Indexed: 11/25/2022]
Abstract
Mesenteric lipoma is an extremely rare disease in children. Fewer than 50 cases have been reported in the literature. Diagnosis is based on clinical examination, ultrasound, and computed tomography (CT). However, only the histological study of the specimen during laparotomy or laparoscopy can confirm the diagnosis. Thus, surgery, be it by laparotomy or laparoscopic, is both a means of exploration and treatment in mesenteric lipoma. We report on a case of giant lipoma of the mesentery in a 7-year-old girl presenting paroxysmal abdominal pain with a subocclusive syndrome lasting 1 week.
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Affiliation(s)
- M Hida
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc.
| | - A Azahouani
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
| | - D Elazzouzi
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
| | - H Benhaddou
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
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12
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Kakiuchi Y, Mashima H, Hori N, Takashima H. A small intestine volvulus caused by strangulation of a mesenteric lipoma: a case report. J Med Case Rep 2017; 11:68. [PMID: 28285596 PMCID: PMC5346846 DOI: 10.1186/s13256-017-1232-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Accepted: 01/31/2017] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND An emergency department encounters a variety of cases, including rare cases of the strangulation of a mesenteric lipoma by the greater omentum band. CASE PRESENTATION A 67-year-old Japanese man presented with nausea, vomiting, and upper abdominal pain. There were no abnormalities detected by routine blood tests other than a slight rise in his white cell count. A contrast-enhanced computed tomography scan of his abdomen revealed a dilated intestine, a small intestine volvulus, and a well-capsulated homogeneous mass. He was suspected of having a small intestine volvulus that was affected by a mesenteric lipoma; therefore, single-port laparoscopic surgery was performed. Laparoscopy revealed a small intestine volvulus secondary to the strangulation of a mesenteric lipoma. The band and tumor were removed. He had no postoperative complications and was discharged on postoperative day 6. CONCLUSIONS Although this case was an emergency, it showed that single-port laparoscopic surgery can be a safe, useful, and efficacious procedure.
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Affiliation(s)
- Yoshihiko Kakiuchi
- Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan.
| | - Hiroaki Mashima
- Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan
| | - Naoto Hori
- Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan
| | - Hirotoshi Takashima
- Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan
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13
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Bang CS, Kim YS, Baik GH, Han SH. A case of lipoma of parietal peritoneum causing abdominal pain. THE KOREAN JOURNAL OF GASTROENTEROLOGY 2016; 63:369-72. [PMID: 24953615 DOI: 10.4166/kjg.2014.63.6.369] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Lipomas are common benign tumors of mature adipose tissue, enclosed by thin fibrous capsules. They can occur on any part of the body; however, peritoneal lipoma is extremely rare. We encountered a case of a 75-year-old man presenting with intermittent abdominal pain, who had undergone right hemicolectomy due to colon cancer. Abdominal computerized tomography showed a well-defined heterogenous fatty mass measuring 4.5 × 3.5 cm in size, suggesting fat necrosis located in the abdominal wall. Laparotomy showed a very large soft mass of peritoneum. Pathologically, the tumor was diagnosed as lipoma containing fat necrosis located in parietal peritoneum not fixed to any organs, but with small bowel adhesion. Due to its rare etiologic origin and obscure cause of development, we report on a case of lipoma of parietal peritoneum causing abdominal pain.
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Affiliation(s)
- Chang Seok Bang
- Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, 77 Sakju-ro, Chuncheon 200-704, Korea
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14
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Abstract
Omental and mesenteric lipomas are very rare benign lesions of mature adipose tissue. They are well-defined, noninvasive, and encapsulated masses that can be discovered in asymptomatic patients or may cause variable nonspecific symptoms depending on their size and location. The omental and mesenteric lipoma has confusing features in ultrasound; however, computed tomography and magnetic resonance imaging can well characterize and demarcate these lesions. Though few cases of mesenteric and omental lipomas have been reported in the literature, but because of its large size and childhood presentation, the case we present, can be one of the largest childhood omental and mesenteric lipomas ever reported. A 6-year-old girl presented with slowly progressing abdominal distension and repeated dull abdominal pain for last 4 years. Abdominal and pelvic computed tomography examination revealed a huge mesenteric and omental lipoma that was resected surgically without any complications.
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15
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Ferraro GA, Salzillo R, De Francesco F, D'Andrea F, Nicoletti G. Approach and management of a giant lipoma in the left lumbar region. Int J Surg Case Rep 2015; 14:189-93. [PMID: 26298094 PMCID: PMC4573863 DOI: 10.1016/j.ijscr.2015.08.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 08/05/2015] [Accepted: 08/05/2015] [Indexed: 12/02/2022] Open
Abstract
We present a case of giant lipoma in the left lumbar region. Movements were hindered, especially rotation, flexion and extension of the trunk. The size of the bulk presents differential diagnostic problems with liposarcoma. Surgical excision was performed to confirm diagnosis with histological evaluation.
Introduction Lipomas are the most common benign tumors of the adipose tissue and can be located in any region of the body. In most cases lipomas are small and asymptomatic, but they can at times reach considerable dimensions and, depending on their anatomic site, hinder movements, get inflamed, cause lymphedema, pain and/or a compression syndrome. Presentation of case We here report the case of an otherwise healthy patient who came to our observation with a giant bulk in the left lumbar region which had been showing progressive growth in the previous 5–6 years. Physical examination, ultrasound and MRI were carried out in order to characterize the size, vascularization and limits of the lesion. Due to the pain and restriction of movement that this bulky lesion caused, surgical excision of the lesion was performed. Discussion Giant lipomas display an important differential diagnosis problem with malignant neoplasms, especially liposarcomas, with which they share many features; often the final diagnosis rests on histological evaluation. We here discuss the diagnostic problems that arise with a giant lipoma and all the possible approaches concerning treatment of such a big lesion, explaining the reasons of our approach and management of a common tumor in our case presenting unusual dimensions and location. Conclusion Our approach revealed to be successful in order to nurse our patient's pain, restore the mobility and address the aesthetic issues that this lesion caused. Postoperative checkups were carried out for one year and no signs of relapse have been reported.
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Affiliation(s)
- Giuseppe Andrea Ferraro
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.
| | - Rosa Salzillo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy
| | - Francesco De Francesco
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy
| | - Francesco D'Andrea
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy
| | - Gianfranco Nicoletti
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy
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16
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Tayeh C, Mneimneh S, El-Masri R, Daoud N, Rajab M. Giant mesenteric lipoma: A case report and a review of the literature. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2015. [DOI: 10.1016/j.epsc.2015.02.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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17
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Turk E, Edirne Y, Karaca F, Memetoglu ME, Unal E, Ermumcu O. A rare cause of childhood ileus: giant mesenteric lipoma and a review of the literature. Eurasian J Med 2015; 45:222-5. [PMID: 25610284 DOI: 10.5152/eajm.2013.44] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 02/20/2013] [Indexed: 11/22/2022] Open
Abstract
Mesenteric lipomas are benign tumors of mature fat cells. They are usually asymptomatic and create a clinical picture that depends on the localization and size of the lipoma. Although rare, unusually large mesenteric giant lipomas can cause partial or complete bowel obstruction. Lipomas resulting in partial bowel obstruction can present with symptoms such as intermittent abdominal pain and abdominal distention. With complete obstruction, a child can present with an acute abdomen. Treatment is the excision of the mass along with the affected portion of bowel. In this case study, a 2-year-old female presented with a bowel obstruction due to the presence of a giant mesenteric lipoma. Clinical features of 16 cases published in the English literature to date are presented.
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Affiliation(s)
- Erdal Turk
- Department of Pediatric Surgery, Faculty of Medicine, Izmir University, Izmir, Turkey
| | - Yesim Edirne
- Clinic of Pediatric Surgery, Denizli State Hospital, Denizli, Turkey
| | - Fahri Karaca
- Clinic of Pediatric Surgery, Denizli State Hospital, Denizli, Turkey
| | | | - Emel Unal
- Clinic of Pathology, Denizli State Hospital, Denizli, Turkey
| | - Ozgur Ermumcu
- Clinic of Anestesiology and Reanimation, Denizli State Hospital, Denizli, Turkey
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18
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Kshirsagar AY, Nangare NR, Gupta V, Vekariya MA, Patankar R, Mahna A, Wader JV. Multiple giant intra abdominal lipomas: A rare presentation. Int J Surg Case Rep 2014; 5:399-402. [PMID: 24862028 PMCID: PMC4064398 DOI: 10.1016/j.ijscr.2014.04.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Accepted: 04/01/2014] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Solitary or multiple lipomas, composed of mature fat, represents by far the most common benign mesenchymal neoplasm occurring throughout the whole body, but they rarely originate in the intestinal mesentery. PRESENTATION OF CASE A 60-year-old male presented with left sided abdominal distension and pain since 4 months, ultrasonography and computerized tomography abdomen was suggestive of multiple well-defined fat density lesions in the lower abdomen and pelvis. USG guided fine needle aspiration cytology was conclusive of a spindle cell lesion. Exploratory laparotomy was performed and multiple major fat tissue swellings were excised. Histopathology confirmed it to be spindle cell type of lipoma. DISCUSSION Because of the silent nature the exact prevalence of lipomas is unknown. It can arise in any location in which fat is normally present, reported intra abdominal lipomas have been very rare. Clinical manifestations depend on the size and location of the growth. In most patients, symptoms are few or absent. USG and CT scan abdomen are used for the diagnosis. Complete surgical excision being the only treatment. CONCLUSION Intra abdominal lipoma is a very rare entity, and many cases might be ignored due to their silent nature. They might or might not present with any symptoms. Complete surgical excision being the only treatment, with a very good prognosis.
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Affiliation(s)
- Ashok Y Kshirsagar
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India.
| | - Nitin R Nangare
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Vaibhav Gupta
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Mayank A Vekariya
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Ritvij Patankar
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Abhishek Mahna
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - J V Wader
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
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19
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Cascini V, Lisi G, Lauriti G, Sindici G, Chiesa PL. Giant abdomino-pelvic adipose tumors of childhood. Pediatr Surg Int 2012; 28:89-93. [PMID: 21877241 DOI: 10.1007/s00383-011-2971-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/17/2011] [Indexed: 01/27/2023]
Abstract
Adipose tumors are rare in pediatric age and are commonly represented by benign forms: lipoma and lipoblastoma/lipoblastomatosis. Generally localized in subcutaneous tissue of the trunk and extremities, they can exceptionally occur as giant intra-peritoneal or pelvic masses. These tumors could reach considerable size prior to diagnosis since they are asymptomatic. The authors report a case series of three giant abdomino-pelvic adipose tumors.
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Affiliation(s)
- Valentina Cascini
- Department of Pediatric Surgery, G. d'Annunzio University of Chieti-Pescara, Pescara, Italy
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20
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Affiliation(s)
- Intezar Ahmed
- Department of Pediatric Surgery, CSM Medical University, Lucknow, India.
| | - Sunita Singh
- Department of Pediatric Surgery, CSM Medical University, Lucknow, India
| | - Jile D. Rawat
- Department of Pediatric Surgery, CSM Medical University, Lucknow, India
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21
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Park J. Small Bowel Obstruction Caused by Mesenteric Lipoma in a Child. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2010. [DOI: 10.4174/jkss.2010.79.3.234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jinyoung Park
- Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
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22
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Cha JM, Lee JI, Joo KR, Choe JW, Jung SW, Shin HP, Kim HC, Lee SH, Lim SJ. Giant mesenteric lipoma as an unusual cause of abdominal pain: a case report and a review of the literature. J Korean Med Sci 2009; 24:333-6. [PMID: 19399281 PMCID: PMC2672139 DOI: 10.3346/jkms.2009.24.2.333] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2007] [Accepted: 02/21/2008] [Indexed: 12/04/2022] Open
Abstract
We report a rare case of giant mesenteric lipoma presenting with colicky abdominal pain. A 29-yr-old woman underwent laparoscopic resection for a giant mesenteric lipoma causing compression of the ileal loop. The resected ileal segment was encased by a giant fatty tissue, and normal mucosal fold patterns of the resected ileum were effaced by the mass. Microscopically, the mass was characterized by homogenous mature adipose tissue without cellular atypia, which was compatible with the diagnosis of a mesenteric lipoma. Despite the benign nature of this tumor, total excision with or without the affected intestinal loop should be considered if intestinal symptoms such as abdominal pain are present.
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Affiliation(s)
- Jae Myung Cha
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Joung Il Lee
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Kwang Ro Joo
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Jae Won Choe
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Sung Won Jung
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Hyun Phil Shin
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Hyun Chel Kim
- Department of Radiology, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Such Hwan Lee
- Department of Surgery, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Sung Jik Lim
- Department of Pathology, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
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23
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Grieser C, Denecke T, Lopez Hänninen E, Langrehr J. Clinical Challenges and Images in GI: image 1. Mesenteric lipoma with pancreatic heterotopy. Gastroenterology 2008; 135:741, 1018. [PMID: 18692499 DOI: 10.1053/j.gastro.2008.07.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- Christian Grieser
- Klinik für Strahlenheilkunde, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany
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24
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McCoubrey AS, Thompson RLE. Small bowel volvulus secondary to a mesenteric lipoma: a case report and review of the literature. Ir J Med Sci 2007; 175:79-80. [PMID: 17312837 DOI: 10.1007/bf03167975] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Small bowel volvulus is rare in adults and often has a precipitating factor. METHODS This report describes a case of small bowel volvulus secondary to a mesenteric lipoma and reviews the literature describing this condition. CONCLUSION Mesenteric lipoma is a rare precipitating cause of small bowel volvulus in adults. Computed tomography scanning may be useful for diagnosis preoperatively. The treatment of choice is surgery with complete excision of the lipoma.
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Affiliation(s)
- A S McCoubrey
- Dept of General Surgery, Altnagelvin Area Hospital, Londonderry, NI.
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25
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Barut I, Tarhan OR, Cerci C, Ciris M, Tasliyar E. Lipoma of the parietal peritoneum: an unusual cause of abdominal pain. Ann Saudi Med 2006; 26:388-90. [PMID: 17019086 PMCID: PMC6074097 DOI: 10.5144/0256-4947.2006.388] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Ibrahim Barut
- Suleyman Demirel University, School of Medicine, Department of General Surgery, Ankara, Turkey.
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26
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Kriaa S, Golli M, Zbidi M, Hafsa CH, Moussa A, Belguith M, Krichene I, Zakhama A, Nouri A, Ganouni A. Lipoblastome omental. ACTA ACUST UNITED AC 2005; 86:1808-9. [PMID: 16333232 DOI: 10.1016/s0221-0363(05)81527-6] [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: 11/15/2022]
Abstract
Lipoblastoma is a rare benign neoplasm of foetal fat tissue. To our knowledge, less than ten cases of omental lipoblastoma have been reported in the literature. We present a new case of omental lipoblastoma in a 3-month old girl. The role of CT in the diagnosis and surgery planning of this tumor will be discussed.
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Affiliation(s)
- S Kriaa
- Service d'Imagerie Médicale, CHU Fattouma Bourguiba, Monastir.
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27
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Wong HI, Chen CY, Liu GC. Primary mesenteric lipoma causing closed loop bowel obstruction: a case report. Kaohsiung J Med Sci 2005; 21:138-41. [PMID: 15880878 DOI: 10.1016/s1607-551x(09)70291-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Primary mesenteric lipoma is rare, with fewer than 50 cases described in English-language literature, and those causing bowel obstructions are even more uncommon. The long stalk of the lipoma that caused secondary volvulus and rapid ischemic change in our patient is worth reporting because of its rarity and distinctive picture in emergency abdominal computed tomography.
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Affiliation(s)
- Heong-Ieng Wong
- Department of Medical Imaging, Kaoshiung Medical University, Kaoshiung, Taiwan
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28
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Cherian A, Singh SJ, Broderick N, Zaitoun AM, Kapila L. Small bowel volvulus due to giant mesenteric lipoma. Pediatr Surg Int 2004; 20:869-71. [PMID: 15205895 DOI: 10.1007/s00383-003-1111-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/19/2002] [Indexed: 10/26/2022]
Abstract
We report on a 14-year-old girl with acute intestinal obstruction due to volvulus of the small bowel caused by a giant mesenteric lipoma. To the best of our knowledge, this presentation of a mesenteric lipoma is unknown in the previous paediatric literature.
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Affiliation(s)
- A Cherian
- Department of Paediatric Surgery, University Hospital Nottingham, Nottingham NG7 2UH, UK
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29
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Sandberg AA. Updates on the cytogenetics and molecular genetics of bone and soft tissue tumors: lipoma. ACTA ACUST UNITED AC 2004; 150:93-115. [PMID: 15066317 DOI: 10.1016/j.cancergencyto.2003.12.018] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2003] [Revised: 12/22/2003] [Accepted: 12/24/2003] [Indexed: 02/02/2023]
Affiliation(s)
- Avery A Sandberg
- Department of DNA Diagnostics, St. Joseph's Hospital and Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.
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30
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Sherer DM, Lysikiewicz A, Chambers JT, Frager D, Eliakim R, Miodovnik M. Large mesenteric lipoma ultrasonographically mimicking a mature cystic teratoma during pregnancy. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2002; 21:473-476. [PMID: 11934105 DOI: 10.7863/jum.2002.21.4.473] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Affiliation(s)
- David M Sherer
- Department of Obstetrics and Gynecology, St Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York 10019, USA
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31
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Abstract
BACKGROUND/PURPOSE Lipoblastoma/lipoblastomatosis is a poorly understood and uncommon soft tissue tumor of infancy and early childhood. Twenty-four patients that presented to a single institution over a 15-year period were reviewed for clinical features and outcome. METHODS A retrospective review was conducted. RESULTS Twenty-five cases were identified; 1 chart was not available for review. Fourteen girls and 11 boys with a median age of 20 months (2 months, 10 years) presented with 26 separate tumors. Nineteen were focal and 7 diffuse. The tumors were located on the trunk (n = 13), leg (n = 6), arm (n = 3), and head and neck (n = 4). Five patients (all with diffuse type) had up to 3 recurrences. CONCLUSIONS Patients with focal lipoblastoma are unlikely to require further surgery after initial resection. Patients with diffuse lipoblastoma (lipoblastomatosis) are likely to have recurrent disease (usually within 2 years) and should undergo close follow-up. Genetic analysis of the specimen will help exclude liposarcoma. Recurrent lesions are best imaged with magnetic resonance imaging to assess extent and plan reconstruction if necessary.
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Affiliation(s)
- A V Dilley
- Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
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