Anterior Cervical Giant Lipoma: Case Report

Abstract

Lipoma is the most common mesenchymal neoplasm in the human body. Only 13% of them arise in the head and neck region and most of these ocur subcutaneously in the posterior neck. Rarely, they can develop in the infratemporal fossa, oral cavity,pharynx, larynx and parotid gland.They may rarely become giant masses due to their asymptomatic nature. Althogh the lipomas may appear in all parts of the body, giant lipomas are rarely seen in the cervical region. Differential diagnosis includes many malignant and benign tumors. Total surgical excision is the preferred treatment modality. The average age of affected patients is fifth decade of life. It is 5-10 times more common in males. In this case report, we report a 63 years old male with a giant neck mass with a diameter of 13cm and diagnosed as lipoma after its removal and histopathological examination, and reviewed the literature.

Keywords

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Anterior Servikal Dev Lipom: Olgu Sunumu

Öz

Lipom insan vücudunun mezenkimal kaynaklı en sık neoplazmı olarak karşımıza çıkmaktadır. Bu tümörler %13 oranında baş ve boyun bölgesinde görülmektedir. Çoğu posterior boyun bölgesinde sübkutan olarak ortaya çıkmakla birlikte infratemporal fossa, oral kavite, farinks, larinks ve daha seyrek olarak parotis bezinde görülmektedir. Asemptomatik olmaları nedeniyle nadiren de olsa dev boyutlara ulaşabilirler. Tüm vücut lokalizasyonunda görülebilmelerine rağmen servikal bölgede dev lipomlara daha nadir rastlanmaktadır. Ayırıcı tanıda birçok benign ve malign tümöral yapı ile karışabilmesine rağmen tedavide total cerrahi eksizyon yeterlidir. Görülme yaşı ortalama 5. dekaddır ve erkeklerde 5-10 kat sık ortaya çıkmaktadır. Biz bu vaka takdimimizde boyunda yaklaşık 13cm boyutlarında dev kitle şikayeti ile başvuran ve eksizyon sonucu patolojik incelemede lipom olarak değerlendirilen 63 yaşında erkek hastayı literatür eşliğinde sunduk.

Anahtar Kelimeler

• Lipom, boyun, cerrahi

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16. Kabul Tarihi: 28.05.2008