Abstract
Background: Fibrolipoma is a rare histological variant of lipoma and although fibrolipomas of the oral cavity have been reported, only a few cases of fibrolipoma of the thoracic region have been published. Case Report: A 49-year-old man presented with pain and a lump in the left side chest. After initial evaluation, CT followed by PET/CT were acquired. The scan findings were suggestive of a benign lipomatous tumor of the left 4th rib; however, malignant transformation could not be ruled out. Hence, excision of the rib lesion with mesh repair and flap reconstruction was performed. Post-operative histopathology was suggestive of a fibrolipoma with absence of atypia or mitosis. Radiological and pathological findings and management of the case are discussed below. Conclusion: Follow-up of such rare tumors are essential to detect recurrence as knowledge about the behavior of these tumors is limited.
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