Prevertebral Giant Lipoma: A Case Report

Abstract

The lipoma is a circumscribed mesenchymal tumor originating from adipose tissue. Benign fatty tumors can arise in any location in which fat is normally present. In the head and neck region the posterior subcutaneous neck is the most common site. Intermuscular benign lipoma commonly is found in the anterior abdominal wall, but is rare in the head and neck region. In this case report, we report a 28 years old male with a fluctuated head and neck pain. In the preoperative period mass lesion was not determined with a palpation. Computed tomography showed well circumscribed, intermuscular gaint mass lesion arising from the prevertebral space. The mass was homogeneously hypodense and there was no invasion to the neighboring muscular structures. Fine-neeedle aspiration cytology was found to be mature adipocyts. The lesion was considered a lipoma. In the case antero-posterior surgical approach was applied. After 24 months of follow-up no signs of tumor recurrence or head and neck pain were noted.

Keywords

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Prevertebral Dev Lipoma: Olgu Sunumu

Öz

Lipoma adipoz dokudan orijinlenen iyi sınırlı mezenkimal tümördür. Benign yağ tümörleri normalde yağ bulunan her lokalizasyondan ortaya çıkabilirler. Baş boyun bölgesinde en sık görülen lokalizasyon posterior subkutan boyundur. İntermusküler benign lipoma sıklıkla anterior abdominal duvar üzerinde bulunur, ancak baş boyun bölgesinde nadirdir. Biz bu vaka takdimimizde fluktuan baş-boyun ağrılı 28 yaşındaki erkek hastayı sunduk. Preoperatif dönemde palpasyonla kitle lezyonu tespit edilemedi. Bilgisayarlı tomografide prevertebral alandan kaynaklanan iyi sınırlı intermusküler dev kitle lezyonu izlendi. Kitle homojen, hipodens ve çevre kas yapısına invazyon göstermemekteydi. İnce iğne aspirasyon sitolojisi matür adipositler olarak bulundu ve lezyon lipoma olarak kabul edildi. Olguda anterior-posterior cerrahi yaklaşım uygulandı. 24 aylık takipte baş boyun ağrısı veya tümör rekürrens bulgusu görülmedi.

Anahtar Kelimeler

• Lipoma-prevertebral alan-dev lipoma

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