Giant lipoma of atypical localization
- Authors: Snarskaya E.S.1, Shnakhova L.M.1, Semiklet J.M.1
-
Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 25, No 5 (2022)
- Pages: 341-348
- Section: DERMATO-ONCOLOGY
- URL: https://journals.rcsi.science/1560-9588/article/view/233225
- DOI: https://doi.org/10.17816/dv112005
- ID: 233225
Cite item
Abstract
Lipoma (from the Greek λίπος ― fat), fatty tumor, wen is a benign tumor of mesenchymal origin, consisting of mature adipocytes, the pathogenesis and etiology of which remain not completely clear.
Diagnosis is based on the clinical presentation of painless, round, movable masses with a characteristic soft, doughy sensation in the subcutaneous tissues, but they can also be found in deeper tissues such as the intermuscular septa, abdominal organs, oral cavity, internal auditory canal, cerebellopontin angle, and chest, as a result of which specialized specialists are involved in the examination of the patient to obtain the results of ultrasound, magnetic resonance imaging. In addition, a histological examination is performed to exclude liposarcoma.
Treatment of a lipoma depends on the location, number, size, and subjective symptoms. Lipomas are excised by endoscopy (anemic, without the risk of noticeable scarring), open method, which makes it possible to prevent recurrence, or outpatient (under local anesthesia).
Due to the high incidence of pathology in the presence of a hereditary predisposition, a thorough examination of the patient’s relatives and the collection of a family history are necessary.
We present a clinical case of giant lipoma in a patient with a rare location of the tumor on the skin of the temporo-zygomatic region of the face.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Elena S. Snarskaya
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: snarskaya-dok@mail.ru
ORCID iD: 0000-0002-7968-7663
SPIN-code: 3785-7859
Scopus Author ID: 8714450500
MD, Dr. Sci. (Med.), Professor
Russian Federation, 4 build. 1 Bol’shaya Pirogovskaya str., Moscow, 119991Lidiya M. Shnakhova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: lika-slm@mail.ru
ORCID iD: 0000-0003-3000-0987
MD, Assistant
Russian Federation, MoscowJuliya M. Semiklet
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: semiklet.jul@mail.ru
ORCID iD: 0000-0001-7615-3917
MD
Russian Federation, MoscowReferences
- Dermatooncology. Ed. by G.A. Galil-Ogly, V.A. Molochkov, Yu.V. Sergeev. Moscow: Meditsina dlya vsekh; 2005. Р. 787–788. (In Russ).
- Charifa A, Azmat CE, Badri T. Lipoma pathology. In: StatPearls [Updated 2021 Oct 2]. Treasure Island (FL): StatPearls Publishing; 2021.
- Kolb L, Yarrarapu SN, Ameer MA, et al. Lipoma. In: StatPearls [Updated 2021 Oct 2]. Treasure Island (FL): StatPearls Publishing; 2021.
- Baldino ME, Koth VS, Silva DN, et al. Gardner syndrome with maxillofacial manifestation: A case report. Spec Care Dentist. 2019;39(1):65–71. doi: 10.1111/scd.12339
- Vásquez EL, Guzman RP, Sánchez HM, et al. Poliposis adenomatosa familiar: A propósito de 2 casos [Familiar adenomatous polyposis: report of 2 cases]. Rev Gastroenterol Peru. 2018;38(1):78–81. Spanish.
- De Souza Batista FR, Figueira JA, Lustosa RM, et al. Lipoma in the face associated with maxillofacial trauma. J Craniofac Surg. 2017;28(1):295–296. doi: 10.1097/SCS.0000000000003255
- Aust MC, Spies M, Kall S, et al. Posttraumatic lipoma: Fact or fiction? Skinmed. 2007;6(6):266–270. doi: 10.1111/j.1540-9740.2007.06361.x
- Bakhmutova EE, Askerova AN, Babaeva DM, et al. Differentional diagnosis of the retroperitoneal adipose tissue neoplasms. Medical visualization. 2016;(2):90–99. (In Russ).
- Encyclopedia of clinical oncology: A guide for practicing physicians. Ed. by M.I. Davydov, G.L. Vyshkovsky. Moscow: RLS; 2005. Р. 365–366. (In Russ).
- Usoltsev DM, Davidyan AA, Babich RA. The experience of removing giant lipomas in the conditions of the outpatient surgery center. Нospital-replacing technologies: Ambulatory surgery. 2016;(1-2):94–96. (In Russ).
- Salam GA. Lipoma excision. Am Fam Physician. 2002;65(5): 901–904.