Abstract
BackgroundLipoblastoma is a rare benign neoplasm of the adipose tissue occurring most commonly in infants and young children. This tumor can present as a localized, well-circumscribed lesion (lipoblastoma) or as a multi-centric lesion (lipoblastomatosis).Case presentationThis is a case report of lipoblastoma in a 19-month-old male with 9 months history of rapidly progressing axillary mass. Examination revealed a well-circumscribed right axillary mass measuring 25 cm × 20 cm with normal overlying skin and prominent, visibly distended superficial veins. He had surgical excision of the mass. Histologic examination revealed lipoblastoma. There has been no recurrence in the last 21 months of follow-up.ConclusionThe report is presented for its rarity and also for its potential to pose diagnostic difficulty to surgeons. Surgical excision offers the best chance of cure. Long-term follow-up is also important to detect recurrence.
Highlights
Lipoblastoma is a rare benign neoplasm of the adipose tissue occurring most commonly in infants and young children
We present a concise report of our surgical management of axillary lipoblastoma in a child
There was a huge, well-circumscribed right axillary mass extending to the right lateral chest wall from the 2nd to 8th intercostal space with normal overlying skin and prominent, visibly distended superficial veins
Summary
Lipoblastomas are rare benign tumors of soft tissue commonly found in infants and children. Examination revealed an 11-kg infant who was not pale, afebrile, anicteric, and well-hydrated with no significant peripheral lymphadenopathy. There was a huge, well-circumscribed right axillary mass extending to the right lateral chest wall from the 2nd to 8th intercostal space with normal overlying skin and prominent, visibly distended superficial veins. Chest radiograph showed a huge soft tissue opacity arising from axilla .No calcification was seen, and the rib cage and lung fields were normal. He recovered well post operatively and was discharged home on post op day 5. He is currently doing well, and there is no evidence of recurrence in the last 21 months of follow-up
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