Giant Thigh Lipoma: About a Case at Sikasso Hospital

Abstract

Introduction: Lipoma is a benign tumor consisting of fat. This is a fairly common pathology that affects men and women alike, more rarely children. It can occur at any age but remains more common after 40 years. It is called giant when its size exceeds 10 cm or it weighs more than 1000g. The giant lipoma can be a source of physical and aesthetic inconvenience, which can cause many complexes. We report a case of giant lipoma of the anterior aspect of the left thigh. Patient and observation: This was a 72-year-old patient with no known pathological history who consulted for a tumor of the left thigh evolving since22 years old. The tumor was bulky, unsightly with signs of compression leading to functional impotence of the limb. A computed tomography of the left thigh was suggestive of a bulky remodeled lipoma. The standard biological assessment was normal. Total excision of the tumor to a healthy zone was performed. The weight of the operating piece was 12 kilograms. The anatomo-pathological examination of the surgical specimen concluded to a fibrolipoma of the thigh. The postoperative course was simple. Conclusion: The giant lipoma is a benign pathology that can be a source of physical and aesthetic inconvenience. Treatment is essentially surgical excision.