Case Of Lipoma Research Articles

A Case of an Aortic Lipoma in a Dog

Introduction: A 6-year-old German shepherd dog was referred for investigation of lethargy, weakness and dyspnoea. Computed tomography revealed the presence of pleural and pericardial effusions and masses within the lungs and near the heart base. Materials and Methods: The dog was humanely destroyed and a routine post-mortem examination was carried out. The mass near the heart base was observed to be within the wall of the aorta at the aortic arch. Multiple sections of this mass and the masses within the lungs were fixed in 10% neutral buffered formalin and processed routinely. Sections were stained by haematoxylin and eosin. Results: Histopathological examination of the mass revealed it to be composed of sheets of well-differentiated adipocytes, and the mass appeared to arise within the adventitia of the aorta. The mass was therefore diagnosed as a lipoma. The pulmonary masses were diagnosed as bronchoalveolar carcinoma, thought to be unrelated to the lipoma. Conclusions: Two cases of aortic lipomas have been reported in man, but this is the first report of this lesion in veterinary medicine.

内視鏡的粘膜下層剥離術を施行した十二指腸脂肪腫の1例

内視鏡的粘膜下層剥離術を施行した十二指腸脂肪腫の1例

著明な下顎の偏位をきたした下顎頭骨内脂肪腫の1例

著明な下顎の偏位をきたした下顎頭骨内脂肪腫の1例

Hydroxyapatite granules for the surgical treatment of calcaneal intraosseous lipomas: A case report

Intraosseous lipoma of calcaneus is a rare occurrence. It is a benign tumor and frequently associated with pain in heel. Diagnosis can be done by a biopsy of the lesion. This tumor can be treated with curettage and filling cavity with hydroxyapatite granules. We present a case of intraosseous lipoma treated with curettage and hydroxyapatite granules.

LIPOMA OF THE RING FINGER IN A YOUNG FEMALE: CASE REPORT AND REVIEW OF LITERATURE

Lipomas are benign, mesenchymal neoplasms occurring in areas of abundant adipose tissue. They can be found anywhere in the body with approximately 15-20 % located in head and neck region and the majority of rest in the shoulder and back. They are uncommon in hand and even rare in fingers. We report a case of lipoma in 22 year old female who presented to us with a painless swelling. Surgical excision was done. Lipoma should always be kept in the list of differential diagnosis. Complete resection should be done to prevent recurrence.

Intramuscular lipoma associated with frontalis muscle: A rare case report

Lipomas are the most common benign neoplasm of mesenchymal origin, composed of adipose tissue, which comprises almost 50% of all the soft tissue neoplasm. Lipomas can occur at any age and more frequently located on chest, arm, the trunk, shoulder, and thigh but rarely found on head and neck region. Lipomas are most frequently encountered in the subcutaneous tissues but very rarely may be intermuscular or intramuscular. This case report presents an unusual case of lipoma associated with frontalis muscle in a 65-year-old male patient.

Vulvar Lipoma-A Rare Case Report

Lipomas are the most common benign tumor of soft tissues. Lipomas are usually soft, fluctuant, painless, subcutaneous lump measuring from 2-20cm diameter. However conventional lipomas have been reported, lipoma of vulva is a rare occurrence and very few cases have been reported in literature. We present a case of vulvar lipoma in 58 year old woman.

The natural history of pancreatic lipoma: Does it need observation.

Pancreatic lipomas (PL) are a rare, benign mesenchymal neoplasm. Some patients diagnosed with PL are followed radiographically or referred to a second provider, while others are not followed after incidental diagnosis. In this study we describe 74 cases of intrapancreatic lipomas from a single institution over a 12-year period to elucidate the radiologic and clinical natural history of pancreatic lipoma. In the period from January 2001 to December 2013, we selected patients over the age of 18 diagnosed with PL based on Ultrasound, CT, and MR imaging. Clinical data were coupled with review of the radiographic image. These patients were retrospectively followed to establish the significance of PL. PL was identified in 0.012% of all patients undergoing cross-sectional imaging during the studied interval. Lipomas ranged in size at diagnosis from 0.1 cm to 4.8 cm. The majority of patients were asymptomatic at presentation. No patient required intervention or exhibited a change in lipoma diagnosis over a median follow up interval of 41.5 months (range 2-145). 47 patients underwent subsequent imaging with a median of two additional exams (range 2-113) over 31 months (range 1-18). 46/47 (98%) patients with subsequent images showed no discernible growth; 1/47 (2%) had a resolution of the lipoma. Pancreatic lipomas are rare benign mesenchymal neoplasms that exhibit stable size and morphology. They are overwhelmingly asymptomatic. The natural history of pancreatic lipoma is benign. Short-term interval observation is prudent to prove stability and help differentiate from early liposarcoma. Extensive follow-up is not likely necessary for this benign lesion.

Upper urinary tract lipoma: A case report.

Upper urinary tract (UUT) benign tumours are rare. We present a case of UUT lipoma in a 41-year-old man with left flank pain. A computed tomographic urography scan revealed an irregular thickening of the left renal collecting system wall extending from the upper calices to the renal pelvis. The diagnosis of UUT was made and the patient underwent a nephroureterectomy with bladder cuff excision, as standard treatment. However, macroscopic and histological examination revealed a lipomatous tumour with no sign of malignancy. To our knowledge this is the first reported case of its kind of a UUT managed first with a minimally invasive approach.

Lipoma of Spermatic Cord

Lipoma of spermatic cord is rare. They should be considered in the patient with groin pain and normal examination results. A case of lipoma of cord in a 82 year old man is presented. Presentation was as a painless swelling for which he never sought medical advice. Ultrasonography showed hyper echoic lesion. Fine needle aspiration of swelling yielded adiposities. Excision of swelling was done.

Lipoma of Tongue: a case report

Lipoma is the benign tumor occurring at any anatomical site where fat is present. It may be evident for 1 to 5 percent of the entire benign tumor of the oral cavity. Lipoma of the tongue is extremely rare because tongue is totally devoid of fat cell. In this case study we report a case of lipoma of tongue. A 45 years old Bangladeshi female patient presented with this benign tumor at the left lateral border with dorsal and ventral surface of the tongue for which complete tumor excision was done.Bangladesh Journal of Medical Science Vol.14(3) 2015 p.302-304

The value of energy spectral CT in the differential diagnosis between benign and malignant soft tissue masses of the musculoskeletal system

ObjectiveTo explore the value of energy spectral CT in the differential diagnosis between benign and malignant tumor of the musculoskeletal system. MethodsEnergy spectral CT scan was performed on 100 patients with soft tissue mass caused by musculoskeletal tumors found by MRI. Solid areas with homogenous density were chosen as region of interests (ROI), avoiding necrosis, hemorrhage and calcification region. Select the optimal keV on single energy images, and then the keV–CT curve was automatically generated. All 100 cases of tumors proved by histological examination were divided into four groups, 38 cases were in benign group, 10 cases in borderline group, 49 cases in malignant group, and 3 cases of lipoma (that were analyzed separately since its curve was arc shaped, significantly different from other curves). The formula used to calculate the slope of spectral curve was as follows: slope=(Hu40 keV−Hu80keV)/40. As the slope was steep within the range of 40–80keV based on preliminary observations, 40keV and 80keV were used as the reference points to calculate the slope value of the energy spectral curve. Kruskal–Wallis rank sum test was applied for statistical analysis, and P<0.05 was considered to indicate a statistically significant difference. ResultsThe spectral curve of benign group was gradually falling type with a mean slope of 0.75±0.30, that of malignant group was sharply falling type with a mean slope of 1.64±1.00, and that of borderline group was a falling type between the above two groups with a mean slope of 1.34±0.45. The differences of slopes between benign and malignant group, benign and borderline group were of statistical significance (P<0.05) respectively. The spectral curves of 3 cases of lipoma showed arc shaped rising type with a mean slope of −2.00. ConclusionSpectral curve is useful in the differential diagnosis of benign and malignant tumor of the musculoskeletal system. Arc shaped curve is a specific sign for tumors containing abundant fat.

A giant retroperitoneal lipoma presenting as a sciatic hernia: MRI findings

Sciatic hernia is a rare condition and its clinical diagnosis is uneasy. Herniation of pelvic organs as well as of retroperitoneal neoplasm has been reported in the literature. Sciatica occurs as a result of compression of the sciatic nerve by the herniated sac. We present a case of retroperitoneal lipoma in a patient who had lower leg complaint and describe the imaging findings.

A study of histopathological variants of orofacial llpoma in a Nigerian population

Objective: The rarity of llpoma In the orofacial region has made It difficult to ascertain the dinlcopathological pattern of orofadal lipoma in our environment. This study alms to determine the age, gender, sites and histopathological variants of orofadal llpoma In a Nigerian population.&#x0D; Method: A 21-year retrospective review was performed on patients' dlnlcal notes, histopathology slides and reports of all histopathologically diagnosed orofacial lesions in the Department of Oral Pathology and Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.&#x0D; Result: Of the 1116 diagnosed lesions within the study period, there were 15 (1.3%) cases of lipoma. There was a female to male ratio of 2: 1, with a mean age of 31±1.2 years and the peak age group was the 4111 decade of life (n=6, 40.0%). The buccal mucosa (n=B, 53.3%) and the forehead (n =4, 26. 7%) were the commonest orofacial sites of the lesion. The conventional llpoma (n=B, 53.3%) was the predominant lesion, followed by angiolipoma (n=3, 20.0%), flbrollpoma (n= 2, 13.3%), spindle cell llpoma (n= 1, 6. 7%) and Intramuscular llpoma (n= 1, 6. 7%).&#x0D; Conclusion: This study revealed a low prevalence of orofacial lipoma comparable to previous report. The lesion occurred predominantly In adult females and the buccal mucosa was the commonest orofacial site. Apart from the conventional lipoma. angiolipoma was the second most frequent hlstopathological variant of the lesion. Early surgical Intervention andhistopathological evaluation of clinically suspicious cases of orofacial lipoma is recommended, to avoid facial disfigurement and to rule out a malignant lesion mimicking the benign type.&#x0D;

Endoscopic Resection of Lipoma of the Patellar Tendon

Synovial lipoma of the patellar tendon is a very rare entity. It can be associated with rupture of the patellar tendon. We present a case of synovial lipoma that was successfully resected endoscopically. The other indications for patellar tendoscopy include chronic patellar tendinitis and tendinosis, recalcitrant bursitis around the tendon, Osgood-Schlatter disease, and jumper's knee. The major potential danger of this endoscopic procedure is iatrogenic damage to the patellar insertion during endoscopic debridement in patients with jumper's knee or the tibial insertion during endoscopic debridement in patients with Osgood-Schlatter disease.

29. Spindle cell uterine lipoma: a case report

Lipomas are benign tumours composed of mature white adipocytes. One of the subtypes, spindle cell lipoma are most commonly found in subcutaneous tissue of shoulder, back and posterior neck and most often occurs in men. Although lipomas are the most common mesenchymal and soft tissue tumours, to date, less than 80 cases of uterine lipomas have been reported in the literature. The only case of spindle cell lipoma in the female genital tract have been in the vulva and cervix.¹ There has been only one case of uterine lipoma reported in Australia in 1946.² To the best of our knowledge, this is the first case of spindle cell uterine lipoma reported. We present a case of an 87 year old female presenting with post menopausal bleeding and large bulky uterus. The uterus showed 70mm yellow intramural mass. Histologically the mass consisted of adipose tissue with variably sized adipocytes with interweaving collagenous fibrous tissue containing pleomorphic spindle cells consistent with features of spindle cell lipoma. Immunohistochemistry for CD34 showed positivity of the spindle cells supporting the diagnosis of spindle cell lipoma.

Lipomas of Oral and Maxillofacial Region: A Case Series

Objective: Lipomas are the most common soft tissue tumors in the human body, but only 15-20% of cases occur in the oral and maxillofacial region. Hence in this study, we describe the clinical and histopathologic features of eight cases of lipomas in the oro-facial region. Materials and Methods: The cases reported during the period 2009-2014 to the Department of Oral and Maxillofacial Pathology were retrieved for the study as none of the cases of lipomas reported before. Clinical data were collected from patient's records, and cases were reviewed and classified microscopically. Results: Of the eight cases, six were female patients, and two were males; their mean age was 47 years (ranges: 22-76 years). In the present case series, lipomas showed multiple site involvement in the oral and maxillofacial region with the mean size of tumor being 3 cm (ranges 1.5-4.5 cm). Microscopically, three cases were classic lipomas, four were fibrolipomas and one was intramuscular or infiltrating lipoma. All cases had been treated by simple surgical excision, were followed, and no recurrence was reported. Conclusion: Lipomas of oral and maxillofacial region are relatively uncommon tumors. They have no gender as well as the site predilection for occurrence. The most common histological variant was found to be fibrolipoma. Surgical excision is the treatment of choice with a good prognosis.

Lipoma of the Oral Cavity – a Rare Case Report and Review of Literature

Lipomas are common benign mesenchymal neoplasms that rarely occur in the oral cavity and correspond to less than 4.4% of all benign oral soft tissue tumors. They are composed of mature adipocytes, usually surrounded by a thin fibrous capsule. They particularly occur in the areas of fat accumulation, especially the cheek, followed by the tongue, floor of the mouth, buccal sulcus and vestibule, lip, palate, and gingiva. A case of intraoral lipoma occurring in retromolar region in a 52 year-old male is reported along with review of the literature. Wide surgical excision was performed and two-year follow-up showed excellent healing without any recurrence.

Lipoma in liver: A rare presentation

Liver lipoma is an extremely rare tumor. Its nature and behavior is not well-known since available information is based mostly on the individual case reports. This report presents a case of liver lipoma mimicking malignant liver tumor. Patient was a 76-year-old female patient with 5-month history of the right upper abdominal quadrant pain. Diagnostic work-up revealed a large liver tumor mass, suspicious of malignancy. However, histopathological analysis found it to be benign lipoma. Because of extremely low incidence of liver lipoma, especially large ones, appropriate diagnostic work-up is very important for its differentiation from malignant tumors.

Sol Bel Bölgesinde Dev Lipom: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Lipomas are benign soft tissue neoplasms comprised of mature adipocytes encapsulated by a layer of connective fibrous tissue. Our case was 56 years old man who has a slow growing mass on his left loin for ten years. Lately, he suffered from this mass because he complained about wearing pants, sitting a chair and failing daily activities. On physical examination, 25x15 cm soft, mobile mass lining through his left loin was seen. An elliptical incision consisting of expanded skin was made. 21x5 cm expanded skin and 25 cm length, 15 cm width and 6cm depth superficial lipoma was removed by the monopolar electrocautery over the fascia. A hemovac suction drain was placed. Dermis and subdermal tissue have sutured by 3-0 absorbable sutures. Skin was closed by stapler. In our study, we represent a case of giant lipoma in left loin which has a 25x15x6 cm dimensions. We suggest that this lipoma is among the biggest ones in the literature which has been reported.