Abstract
Lipoma is a benign mesenchymal tumour of adipose tissue and relatively rare occurrence in head and neck area. Mostly lipoma have a diameter of 2 cm and rarely grow beyond 10 cm. However, it may occasionally enlarge rapidly and become huge to become a giant lipoma which measures at least more than 10 cm in one dimension or weighing at least 1000g. The presentation of the anterior neck swelling is mostly related to the thyroid gland. However, it also can be the other soft tissue swellings, such as lipoma, which is the commonest mesenchymal tumours in adults. The lipomas however, are commonly involving the head and posterior neck region, which estimate about 15-20% of the cases and mostly small. We present the case of a 80-yearold man with huge anterior neck swelling for thirty years. The complete excision was performed with a good post-operative healing and cosmesis.
 Bangladesh Journal of Medical Science Vol.20(2) 2021 p.449-452
Highlights
The most common soft-tissue mesenchymal tumours are lipomas.1 A thorough history and examination based on the aetiology, whether it is congenital or acquired, site, and the consistency of swelling, are crucial for the diagnosis
We present the case of a 80-yearold man with huge anterior neck swelling for thirty years
The histologic features and growth pattern of benign lipomatous tumour are subclassified into classic lipomas, fibrolipoma, angiolipoma, infiltrating lipoma, intramuscular lipoma, hibernoma, pleomorphic lipoma, lipoblastoma, and diffuse lipoblastoma
Summary
The most common soft-tissue mesenchymal tumours are lipomas. A thorough history and examination based on the aetiology, whether it is congenital or acquired, site, and the consistency of swelling, are crucial for the diagnosis. There was a single huge, lobulated anterior neck swelling extending from the lower border of thyroid cartilage to 3 cm below the suprasternal notch, and laterally from right border of the trachea to the left anterior border of sternocleidomastoid muscle, with the size of about 10 cm x 8 cm (Figure 1). It did not move with swallowing or tongue protrusion. 3. Irfan Mohamad , Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia. There was no recurrence after six months of follow up
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