Giant intramuscular thigh lipoma: A case report and review of literature
| Autor: | Max Net Sánchez Gallegos, Mario Rodarte Shade, Mauricio Gonzalez Urquijo, Carlos Antonio Morales Morales, Luis Fernando Morales Flores |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Lipocytes Case Report Asymptomatic 03 medical and health sciences 0302 clinical medicine Biopsy medicine Medical history Semitendinosus muscle Right Thigh Tumors medicine.diagnostic_test business.industry Soft tissue Lipoma Lipoblasts medicine.disease CT computed tomography Biceps femoris muscle 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business MRI magnetic resonance imaging |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Lipomas often require delicate surgical intervention due to their potential risk of malignant transformation. • Suspicious features such as large size, heterogeneity, irregular septa, high degree of vascularity, warrant initial biopsy. • Radiological guidance should provide enough evidence for a biopsy, hence saving the patient an extra invasive procedure. • We recommend taking at least 1 cm of border margin while removing these tumors to avoid local recurrence. Introduction Lipomas are the most common soft tissue tumor. Giant lipomas are defined by measuring at least 10 cm in diameter in one dimension or by a minimum of 1000 g. They often are asymptomatic; however, they can cause compression syndromes due to nerve damage and difficulties in walking. Presentation of case We described the case of a 25-year-old female with no significant medical history who began her condition two years before her consultation. The patient referred to the appearance of a non-painful mass on her right thigh with progressive growth that hinders daily activities. A simple CT scan reported a 10.3 × 8.1 × 19.6 cm adipose mass with infiltration towards the semitendinosus muscle and the biceps femoris muscle. A free margin resection of the tumor was performed, and the involved muscles were preserved. The patient had a satisfactory postoperative outcome. Discussion Lipomas are common benign soft tissue tumors that arise from fatty tissue and may challenge surgical management due to their extension and dimensions; they often require delicate surgical intervention due to their potential risk of malignant transformation. We believe surgical pathologists and radiologists must draw attention to muscle involvement and the infiltrative pattern. Conclusion Giant lipomas should always raise awareness of malignant transformation. Radiological guidance should provide enough evidence to decide whether to do a biopsy or not; hence, saving the patient an extra invasive procedure. We recommend taking at least 1 cm of border margin while removing these tumors to avoid local recurrence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|