Servikal Paravertebral Osteolipoma: Olgu Sunumu ve Literatür Taraması

Year 2022, Volume: 75 Issue: 1, 142 - 148, 30.06.2022

Yasmeen Jamal Alabdallat

https://doi.org/10.4274/atfm.galenos.2021.81488

Abstract

Osteolipoma, iyi ayırt edilmiş bir metaplastik kemik içeren alışılmadık bir lipom şeklidir. Kemikleştirici lipomalar klinik ve radyolojik özellikleri diğer
iyi huylu ve kötü huylu tümörlerle paylaşırlar. Bu nedenle osteolipomaları kötü huylu olanlardan ayırmak, özellikle görüntüleme yöntemlerini
kullanırken zordur. Buna göre, tanı süreci daha az olumlu bir prognoz ile diğer neoplazmlardan ayırt edilmesini sağlamak için yeterli histolojik
karakterizasyon gerektirir ve cerrahi eksizyon en etkili tedavi olarak kabul edilir. Altmış bir yaşında, herhangi bir nörolojik belirti ve semptom
göstermeden boyun ağrısı gösteren bir kadın olarak sunduğumuz olguda görüntüleme çalışmalarında total cerrahi eksizyon ile tedavi edilen servikal
paravertebral kemikleşmiş lezyon saptandı ve histopatoloji incelemesinde osteolipoma saptandı. Ayrıca, altı servikal osteolipoma olgusunun yer
aldığı bir literatür taraması yaptık. Osteolipomalar geleneksel lipomlar gibi olumlu bir prognoza sahiptir. Bu nedenle cerrahlar, tercih edilen tedavi
olarak tam bir cerrahi rezeksiyona ihtiyaç duyan kemikleştirici lipomları ayırıcı tanıda yer alan kötü huylu lezyonlardan ayırt etme konusunda
bilinçlendirilmelidir. Ancak bu tümörlerle ilgili ilgili klinik bilgiler nedeniyle ameliyat sonrası takip önerilmektedir.

Keywords

Osteolipoma , Kemikleştirici Lipoma , Atipik Lipoma , Servikal Paravertebral Lipoma , Kemikleşmiş Lipoma

Ethical Statement

The manuscript contains no data by which can identify the patient. The informed consent was gained from the patient.

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Thanks

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Cervical Paravertebral Osteolipoma: Case Report and Literature Review

Abstract

Osteolipoma is an unusual form of lipoma containing a well-differentiated metaplastic bone. Ossifying lipomas share clinical and radiological
characteristics with other benign and malignant tumors; therefore, distinguishing osteolipomas from malignant ones is challenging, especially
when using imaging methods. Accordingly, the diagnosing process requires adequate histological characterization to ensure distinguishing it from
other neoplasms with a less favorable prognosis, and the surgical excision is considered the most effective treatment. The case we presented was a
61-year-old female, who presented with neck pain without any neurological signs and symptoms. Imaging studies showed a cervical paravertebral
ossified lesion treated by total surgical excision and histopathology examination showed osteolipoma. Furthermore, we conducted a literature
review that included six cases of cervical osteolipoma. Osteolipomas have a favorable prognosis like conventional lipomas; thus, surgeons should be
aware to distinguish ossifying lipomas, which needs a complete surgical resection as the treatment of choice, from malignant lesions included in the
differential diagnosis. However, postoperative follow-up is recommended because of relevant clinical information about these tumors.

Keywords

Osteolipoma , Ossifying Lipoma , Atypical Lipoma , Cervical Paravertebral Lipoma , Ossified Lipoma

Ethical Statement

The manuscript contains no data by which can identify the patient. The informed consent was gained from the patient.

Supporting Institution

-

Project Number

-

Thanks

-

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