Case Of Lipoma Research Articles

Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel\u2019s diverticulum: a case report

BackgroundLipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing GCP-component cells within the inverted Meckel’s diverticulum.Case presentationA female in her 40s underwent computed tomography for postoperative follow-up of left breast cancer. A tumor, suspected to be a lipoma, was found in the ileum. Since there were no symptoms, the patient underwent regular follow-up. However, gradual enlargement was observed, and surgery was recommended due to the risk of intussusception. After reduction via the Hutchinson technique, laparoscopically assisted partial resection of the small intestine was performed due to suspicion that the tumor was causing intussusception starting from the ileum. Histopathologic examinations revealed proliferation of mature adipose tissue in the subserosal layer, which was diagnosed as lipoma. Furthermore, adipose tissue was found in the stem area and accordingly, we diagnosed lipoma associated with the inverted Meckel’s diverticulum. Moreover, gastric mucosa-like crypt epithelium and proper glandular tissue were identified in the mucosal membrane at the area of onset, and signs of gastric pit dilatation over the submucosa and crypt epithelium hyperplasia were observed. Diagnosis was ectopic gastric mucosa containing GCP component tissue.ConclusionsIntussusception in the small intestine complicated with lipoma and ectopic gastric mucosa with GCP within the Meckel’s diverticulum has not been reported, demonstrating the rarity of our case.

A Case of Fibrolipoma of the Nasal Septum

Lipoma is the most common benign neoplasm in adults. While it is commonly found in the neck, trunk, and extremities, it is extremely rare in the nasal cavity, paranasal sinus, or nasal septum. To our knowledge, there have been only a few cases of septal lipomas reported in the English literature. A 32-year-old woman visited Kosin University Hospital complaining of left nasal congestion and throat discomfort. Upon nasal endoscopy examination and CT, we found a polypoid mass of 2.7×1.5 cm with an elongated neck occupying a region left of the nasopharyngeal to the oropharyngeal cavity. The mass was completely removed via endoscopic endonasal surgery under general anesthesia and was identified as a fibrolipoma in the histopathological examination. We report a case of a successfully treated fibrolipoma originating from the posterior margin of the nasal septum.

Clinical study of benign tumours and tumour like lesions of oral cavity

The oral mucosa is constantly under the influence of various internal and external stimuli. It exhibits a range of developmental disorders, irritation, inflammation and neoplastic conditions. The oral cavity is the most common site for various tumours and tumour like lesions. Tumours may be benign or malignant. Various studies have been done for malignant tumours whereas very few studies have been done on benign tumours and tumour like lesions of oral cavity. 93 patients of either sex with oral cavity lesions diagnosed and confirmed histopathologically as benign tumours and tumour like lesions were studied for a period of one year. 48 cases of tumour like lesions like pyogenic granuloma, mucous retention cyst, fibrous epulis and 45 cases of lipoma, hemangioma, irritational fibroma, pleomorphic adenoma and leiomyoma were seen in our study. Oral lesions are encountered by ENT surgeons, dentists and dermatologists. Hence knowledge of benign tumours and tumour like lesions in terms of incidence, presentation and histopathological features are beneficial for better diagnosis and treatment.

Lipomas: A Case Series

Aim: This report aims to present 5 cases of intraoral lipoma with clinical findings, surgical treatment and histopathological features. Case Report: Provisional diagnosis of minor salivary gland neoplasm, fibroma and lipoma was made for all of the cases according to clinical examination. Excisional biopsy was performed with blunt dissection. Lobular, yellowish, encapsulated masses were obtained from the patients and excised specimens were sent to pathology laboratory for histopathological analysis. Results: After histopathological examination, all cases were diagnosed with simple lipoma. Successful healing of the oral mucosa was observed in postoperative period. Conclusion: The most important feature of these tumours is that they are asymptomatic. Differential diagnosis is important as it includes malign tumours and some genetic diseases that may be related to tumour. Key Words: Lipoma, Oral Surgery Intraoral Lipom: Vaka Serisi Öz Amaç: Bu çalışmada 5 intraoral lipom olgusunun klinik bulguları, cerrahi tedavisi ve histopatolojik özellikleri sunulmaktadır. Olgu Sunumu: Tüm olgularda klinik muayene sonrasında minör tükürük bezi neoplazmı, fibrom ve lipom tanısı düşünülmüştür. Vakaların eksizyonel biyopsileri künt diseksiyon ile yapılmıştır. Eksize edilen örnekler lobüler, sarımsı, kapsül ile çevrili kitleler olarak gözlemlenmiştir ve histopatolojik analiz için patoloji laboratuvarına gönderilmiştir. Bulgular: Histopatolojik inceleme sonrasında tüm olgulara basit lipom tanısı konulmuştur. Postoperatif dönemde oral mukozanın başarılı şekilde iyileştiği görülmüştür. Sonuç: Bu tümörlerin en önemli özelliği, asemptomatik olmalarıdır. Ayırıcı tanı, malign tümörleri ve tümörle ilişkili olabilecek bazı genetik hastalıkları içermesi sebebiyle önemlidir. Anahtar Kelimeler: Lipom, Oral Cerrahi

Massive pericardial lipoma causing haemodynamic compromise in a neonate

Cardiac tumours are rare in neonates. Most are benign and have a favourable outcome. However they can cause significant morbidity and mortality secondary to cardiac compromise. We present the first reported case of pericardial lipoma in a neonate. A baby detected to have a cardiac tumour by foetal echocardiography was delivered at term. Even though initially stable, he developed cardiac arrest at 10 minutes of life, needing resuscitation, ventilation and inotropic support. A massive pericardial tumour measuring 4.5cm by 3.5cm with a pericardial effusion was diagnosed by 2D echocardiography and confirmed by non-contrast CT scan. It was excised on day one of life, however the baby succumbed during surgery due to severe left ventricular dysfunction while weaning off from cardio-pulmonary bypass. Lipomas constitute less than 5% of cardiac tumours in children. Knowledge on pericardial lipomas in children is limited to only a few case reports. Although histologically benign, pericardial tumours can cause cardiac compromise by outflow/inflow obstruction and cardiac tamponade. Management depends on degree of haemodynamic compromise. This case report presents the first reported pericardial lipoma in a neonate and highlights the fact that even histologically benign lipomas can cause significant morbidity and mortality depending on tumour size and location.

Intraosseous lipomas originating from simple bone cysts

Fatty or part-fatty intraosseous lesions are occasionally encountered while imaging the skeletal system. A number of case reports have proposed involution of calcaneal bone cysts to intraosseous lipomas, but this has never been proven. This paper sets out to prove that simple bone cysts (SBCs) can involute to fatty lesions indistinguishable from intraosseous lipomas. The pathology and PACS databases at 2 specialist orthopedic hospitals were retrospectively interrogated for all cases of intraosseous lipomas or SBCs with cross-sectional imaging follow-up for SBCs and precursor or follow-up imaging for intraosseous lipomas, in the time period from August 2007 to December 2016. For intraosseous lipoma cases, these were only included if change in imaging appearances was observed. There was no case of change in the appearance in intraosseous lipomas. Six cases of SBC with cross-sectional imaging follow-up were identified in one participating hospital and none in the other. The 6 cases were comprised of 4 male and 2 female patients. Two were located in the proximal humerus, one in the proximal tibia, and 3 in the os calcis. All cases demonstrated filling in of the cystic lesion with fat from the periphery, in 2 cases complete filling in, and in 4 cases partial fatty conversion. SBCs can heal with fatty conversion of the cystic cavity, with partly cystic remnants. It is proposed that at least part of the so-called intraosseous lipomas are healed simple bone cysts.

Study of Histopathological Variants of Orofacial Lipoma in a Nigerian Population

Background: The rarity of lipoma in the orofacial region has made it difficult to ascertain the clinicopathological pattern of orofacial lipoma in our environment. This study aims to determine the age, gender, sites and histopathological variants of orofacial lipoma in a Nigerian population.Materials and Methods: A 21-year retrospective review was performed on patients' clinical 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.Results: 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 th age of 31 + 1.2 years and the peak age group was the 4 decade of life (n=6, 40.0%). The buccal mucosa (n=8, 53.3%) and the forehead (n=4, 26.7%) were the commonest orofacial sites of the lesion. The conventional lipoma (n=8, 53.3%) was the predominant lesion, followed by angiolipoma (n=3, 20.0%), fibrolipoma (n=2, 13.3%), spindle cell lipoma (n=1, 6.7%) and intramuscular lipoma (n=1, 6.7%).Conclusion: This study observed a low prevalence of orofacial lipoma comparable to previous reports. 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 histopathological variant of the lesion. Early surgical intervention and histopathological 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.

Discrimination of well-differentiated liposarcoma from benign lipoma on sonography: an uncontrolled retrospective study

Well-differentiated liposarcoma, the most common subtype of liposarcoma, should be discriminated from benign lipoma. However, features on sonography for discriminating these two types of tumor have not been fully investigated. The present study was therefore aimed at clarifying differences in sonographic findings between well-differentiated liposarcoma and lipoma. The study population comprised 23 cases of well-differentiated liposarcoma and 181 cases of lipoma. We investigated differences in sonographic appearance and pathological findings between the two types of tumor. Well-differentiated liposarcoma tended to develop more frequently in older patients and in the lower extremities including the gluteal region, compared with lipoma. Concerning sonographic findings, both tumors exhibited well-defined margins and heterogeneous internal echogenicity, including typical tiny striated hyperechoic lines. Well-differentiated liposarcoma was characterized by a higher frequency of the following findings compared with lipoma: (1) deep location, (2) irregular shape, (3) large diameter, (4) hyperechogenicity compared to surrounding tissue, and (5) presence of vascularity on Doppler sonography (p < 0.01 each). Notably, hyperechogenicity corresponded to the intermingled sclerosing component within the adipocytic component when sonographic findings were compared with those of pathology. The present study suggests that several sonographic findings including hyperechogenicity and presence of vascularity might be key features for discriminating well-differentiated liposarcoma from lipoma.

Removal of an endobronchial lipoma via uniportal thoracoscopic right basal segmentectomy

BackgroundEndobronchial lipoma is a rare benign tumor. The standard treatment is bronchoscopic intervention or surgical resection. Here, we present a case of endobronchial lipoma treated by right basal segmentectomy via a uniportal thoracoscopic approach.Case presentationA 66-year-old female presented with a persistent cough and recurring high-grade fever 4 months in duration. Chest X-ray revealed an abnormal infiltration shadow in the right lower lung field. Chest computed tomography revealed a tumor that occluded the lateral segmental bronchus of the right lower lobe. Surgical resection was planned because we failed to diagnose the tumor via bronchoscopic biopsy. Finally, uniportal, thoracoscopic right basal segmentectomy, which is less invasive than lobectomy and allows preservation of the apical segment of the lower lobe, was successfully performed. The pathological diagnosis was of endobronchial lipoma. The cough and recurrent pneumonia improved after surgery.ConclusionsSegmentectomy via a uniportal thoracoscopic approach could be a novel treatment option for endobronchial lipoma.

Invasive Cardiac Lipoma Complicating Visceral Inversion

We report a case of cardiac lipoma with intramyocardial invasion complicated by visceral inversion, which, to the best of our knowledge, has not been reported before. Multimodality imaging played an important role in differential diagnosis and determination of the management strategy. (Level of Difficulty: Advanced.)

Tratamento de Lipoma Pós-traumático em face: relato de caso

O Lipoma é um tumor mesenquimal benigno de tecido mole que surge em locais com presença de adipócitos. São mais comuns na vida adulta, sendo encontrados em 80% dos casos no tórax e nas extremidades do corpo. Em menor freqüência, cerca de 13-20%, manifestam-se em cabeça e pescoço. O tumor exibe predileção por caucasianos do sexo masculino, entre 49 e 60 anos. Os lipomas detêm uma etiologia relacionada a doenças genéticas, distúrbios endócrinos, hereditariedade, infecção local e trauma. O tratamento de escolha é a excisão cirúrgica da lesão, sendo raros casos de recorrência. Geralmente, estes estão associados á ressecção inadequada da neoplasia, sobretudo, de lipomas intramusculares com padrão infiltrativo. Assim o objetivo deste artigo é apresentar um caso clínico de lipoma que se desenvolveu após um trauma em região de face. Foi descrito um caso de uma paciente do sexo masculino, 53 anos, feoderma, com histórico de acidente motociclistico há cerca de 3 anos. Ao exame físico observou-se aumento de volume circunscrito em região temporofrontal direita, mesma região acometida há 3 anos no acidente pregresso, com cerca de 10 cm de diâmetro, amolecida a palpação, coloração normal do tecido adjacente, sem queixas álgicas relacionadas. Foi realizada uma punção aspirativa de agulha fina (PAAF), o qual apresentou-se negativa, em seguida excisão cirúrgica da lesão. Após biopsia excisional, foi confirmado por meio de diagnóstico macroscópico, que se tratava de tecido adiposo, compatível com um lipoma. O paciente segue com dois meses de pós-operatório, sem sinais de recidiva.

Clinical management of lipomas in dogs under primary care in the UK

Lipomas are relatively common and biologically benign masses of mesenchymal origin consisting of adipocytes. This study reports benchmark data on the clinical management and outcomes of lipomas in dogs under...

Giant lipoma of head and neck region: A case series

Lipomas, also known as “universal tumours” are benign soft tissue tumour of mesenchymal origin occurring in approximately 1% of the population, 13% of all the lipomas are reported to be in the head and neck region. Knowing the universal nature of the tumour, in most cases there is no diagnostic dilemma and an accurate clinical diagnosis can be made. However, large swelling, especially of the head and neck region arise the suspicion of malignancy. The primary diagnostic challenge is to differentiate a lipoma from other malignant lesions, specially a well-circumscribed liposarcoma. Diagnostic imaging like X-ray, Ultrasound, CT Scan and MRI are helpful in evaluating these swellings and confirming the diagnosis and deciding the course of further management. In this case series we have reported three cases of giant lipoma of head and neck region.

Uncommon causes of nerve compression in the distal forearm

Nerve compression by anomalous masses located at the wrist and distal forearm is an infrequent condition. They may compress underlying structures in the carpal tunnel region, causing pain and paresthesias, which leads to the wrong diagnosis of carpal tunnel syndrome. We present three cases of patients with symptomatology and clinical tests compatible with compression of the median nerve in the carpal tunnel but whose physical examination showed a soft mass in the distal region of the forearm which was compressing the median nerve, as demonstrated by ultrasound evaluation. The reported cases of accessory muscles or lipomas described in the literature as causes of median nerve compression clinic are mainly described only after the surgical decompression of the carpal tunnel, due to the maintenance of residual symptoms. Careful examination with an ultrasound evaluation prior to surgery may help to identify these cases and help planning surgical treatment.

Case of colorectal lipoma with intussusception

Case of colorectal lipoma with intussusception

Radiologic-Histopathologic Correlation of Adult Spinal Tumors: A Retrospective Study.

Aim:Preoperatively performed magnetic resonance images (MRIs) are essential before treating spinal tumors surgically. This study aims to investigate the compatibility of MRI preliminary diagnosis and proven histopathologic diagnosis of consecutively operated 96 spinal tumors.Material and Methods:Medical records were retrospectively reviewed for all spinal tumors operated at our institute during a period of 6 years. One hundred and ten spinal tumors were detected. Fourteen tumors were excluded because they were not met our study criteria.Results:Ninety-six cases of spinal tumors were detected in 46 female and 50 male patients. The mean age was 49.3 ± 22.7 years. The most common symptom was radicular pain (88.6%). Histopathologic diagnoses were metastasis (n = 26), meningioma (n = 16), schwannoma (n = 15), ependymoma (n = 9), astrocytoma (n = 6), chronic nonspecific granulomatous infection (n = 4), lymphoma (n = 3), lipoma (n = 3), epidural tuberculosis abscess (Pott's disease) (n = 3), and other pathologies in 11 cases. Cervical spine was the less spinal region affected with metastases (P < 0.05). Thoracic spine was the most affected spinal region from meningioma (P < 0.05). Preoperatively, preliminary diagnosis on MRIs was proven with histopathologic examinations in 22 metastasis, 14 meningioma, 11 schwannoma, and all epidermoid cyst and lipoma cases. Despite the fact that MRI cannot diagnose all cases of spinal tumors, MRIs had a high accurate rate to diagnose the most common spinal neoplasms (69.8%).Conclusions:Metastases rarely occurred in cervical spine, whereas meningiomas were most likely to occur in thoracic spine. MRIs can help diagnose metastases and spinal benign lesions, whereas they failed to distinguish astrocytomas and lymphomas. Further prospective studies with large size are needed to support our results.

A case report of giant anterior neck lipoma

&lt;p class="abstract"&gt;Lipoma is a benign mesenchymal tumor with a thirteen percent incidence in head and neck region. Posterior triangle is the most common location while anterior neck lipoma is a rare one. Giant lipomas &amp;gt;10 cm have been reported in different parts of the body but rarely in the anterior neck. Surgical excision remains the treatment of choice. We here report a case of giant anterior neck lipoma in a 50 year old male managed surgically.&lt;/p&gt;

Head and Neck Lipomas at Uncommon Subsites: A Series of Four Cases.

Lipomas are benign soft tissue tumors; the most common ones present in subcutaneous planes distributed throughout the body. However, there are few sites which are unusual location for lipomas. Here, we discuss the presentation of 4 cases of head and neck lipomas at unusual subsites. Though its prevalence is high in the body, lipomas are rarely seen in upper aerodigestive tract and these lesions can cause severe deglutition and respiratory distress problems in addition to cosmetic deformities. In the head and neck, most common location of lipoma is the cheek, followed by the tongue. Tonsillar lipomas are very rare. The mainstay treatment for lipomas is complete surgical excision and recurrence following complete removal is rarely known. We are here discussing a series of 4 cases of lipomas, presenting at uncommon subsites in head and neck region. These include lesions over neck, tongue, palate and tonsillar fossa. Lipomas are benign mesenchymal tumors, that are initially non bothersome. However, with increasing size they can cause severe aerodigestive problems with functional compromise and need complete surgical excision.

Complete third nerve palsy as a presenting feature of an interpeduncular lipoma

Background Intracranial lipomas are rare, benign lesions, of congenital origin commonly found incidentally on imaging studies. Methods We describe a case of interpeduncular lipoma in an 18 year-old female presenting with a painful left complete oculomotor (IIIrd) nerve palsy and associated headache, which to the best of our knowledge has not been reported in an adult patient. Results Following eye patching and steroid treatment, at 6-week follow-up the patient’s pain had significantly improved however the complete IIIrd nerve palsy remained. Conclusions Evidence suggests improvement will occur regardless with conservative management independent of radiological changes to the lipoma.

A rare case of intraneural lipoma arising from the common and superficial peroneal nerves

Intraneural lipomas are typically found within the epineurium of a nerve. Several cases of intraneural lipomas of the upper extremity have been reported, mostly related to the median nerve, but only a few cases involving the sciatic and tibial nerves have been described, due to the low incidence of these lesions in the lower extremity. Here we describe, possibly, the first case of a large intraneural lipoma with involvement of both common and superficial peroneal nerves in a 59-year-old woman. We would like to discuss management and long-term outcomes of this unique tumor, along with our observations during a follow-up period of 3 years. Level of evidence: Level II, diagnostic; therapeutic study.