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Prevertebral Giant Lipoma: A Case Report

Year 2010, Volume: 15 Issue: 1, 58 - 61, 01.02.2010

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.

References

  • Lakadamyalı H, Ergun T, Lakadamyalı H, Avcı S. [A giant retropharyngeal lipoma showing no change in clinical presentation and size within a two-year follow-up: a case report]. Kulak Burun Bogaz Ihtis Derg 2008;18:374-376.
  • Akçam T, Birkent H, Gerek M, Özkaptan Y. [Giant cervical lipoma]. T Klin J E N T 2003; 3:48-52.
  • Yılmaz YF, Titiz A, Sahin C, Tezer MS, Ünal A. [ Posterior cervical giant lipoma: case report].KBB BCC Dergisi 2006;14:87-89.
  • Fletcher CD, Martin-Bates E. Intramuscular and intermuscular lipoma: neglected diagnoses. Histopathology 1988;12:275287.
  • Davis WL Smoker WR, Harnsberger HR. The normal and diseased infrahyoid retropharyngeal, danger, and prevertebral spaces. Semin ultrasound CT MR 1991;12:241-256.
  • Parker GD, Harnsberger HR, Smoker WR. The anterior and posterior servical spaces. Semin ultrasound CT MR 1991; 12:257-273.
  • Kakani RS, Bahadur S, Kumar S, Tandon DA. Parapharyngeal lipoma. J Laryngol Otol 1992; 106:279-281
  • Sreekantaiah C, Karakousis CP, Leong SP, Sandberg AA. Cytogenetic findings in liposarcoma correlate with histopathologic subtypes. Cancer 1992; 69(10):2484-2495.
  • Sanchez MR, Golomb FM, Moy JA, Potozkin JR. Giant lipoma. Case report and review of the literature. J Am Acad Dermatol 1993;28: 266-268.
  • Som PM, Scherl MP, Rao VM, Biller HF. Rare presentations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986; 7:657-664.
  • Aslan G, Hamzaoğlu A. Forestier’s disease and dysphagia. KBB -forum 2007; 6:33-36.
  • Akhtar S, O'Flynn PE, Kelly A, Valentine PM. The management of dysphasia in skeletal hyperostosis. J Laryngol Otol 2000; 114:154-157.
  • Lerosey Y, Choussy O, Gruyer X, François A, Marie JP, Dehesdin D, Andrieu-Guitrancourt J.Infiltrating lipoma of the head and neck: a report of one pediatric case. Int J Pediatr Otorhinolaryngol 1999; 47:91-95.

Prevertebral Dev Lipoma: Olgu Sunumu

Year 2010, Volume: 15 Issue: 1, 58 - 61, 01.02.2010

Abstract

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.

References

  • Lakadamyalı H, Ergun T, Lakadamyalı H, Avcı S. [A giant retropharyngeal lipoma showing no change in clinical presentation and size within a two-year follow-up: a case report]. Kulak Burun Bogaz Ihtis Derg 2008;18:374-376.
  • Akçam T, Birkent H, Gerek M, Özkaptan Y. [Giant cervical lipoma]. T Klin J E N T 2003; 3:48-52.
  • Yılmaz YF, Titiz A, Sahin C, Tezer MS, Ünal A. [ Posterior cervical giant lipoma: case report].KBB BCC Dergisi 2006;14:87-89.
  • Fletcher CD, Martin-Bates E. Intramuscular and intermuscular lipoma: neglected diagnoses. Histopathology 1988;12:275287.
  • Davis WL Smoker WR, Harnsberger HR. The normal and diseased infrahyoid retropharyngeal, danger, and prevertebral spaces. Semin ultrasound CT MR 1991;12:241-256.
  • Parker GD, Harnsberger HR, Smoker WR. The anterior and posterior servical spaces. Semin ultrasound CT MR 1991; 12:257-273.
  • Kakani RS, Bahadur S, Kumar S, Tandon DA. Parapharyngeal lipoma. J Laryngol Otol 1992; 106:279-281
  • Sreekantaiah C, Karakousis CP, Leong SP, Sandberg AA. Cytogenetic findings in liposarcoma correlate with histopathologic subtypes. Cancer 1992; 69(10):2484-2495.
  • Sanchez MR, Golomb FM, Moy JA, Potozkin JR. Giant lipoma. Case report and review of the literature. J Am Acad Dermatol 1993;28: 266-268.
  • Som PM, Scherl MP, Rao VM, Biller HF. Rare presentations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986; 7:657-664.
  • Aslan G, Hamzaoğlu A. Forestier’s disease and dysphagia. KBB -forum 2007; 6:33-36.
  • Akhtar S, O'Flynn PE, Kelly A, Valentine PM. The management of dysphasia in skeletal hyperostosis. J Laryngol Otol 2000; 114:154-157.
  • Lerosey Y, Choussy O, Gruyer X, François A, Marie JP, Dehesdin D, Andrieu-Guitrancourt J.Infiltrating lipoma of the head and neck: a report of one pediatric case. Int J Pediatr Otorhinolaryngol 1999; 47:91-95.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

İbrahim Keskinöz This is me

Publication Date February 1, 2010
Published in Issue Year 2010 Volume: 15 Issue: 1

Cite

APA Keskinöz, İ. (2010). Prevertebral Dev Lipoma: Olgu Sunumu. Fırat Tıp Dergisi, 15(1), 58-61.
AMA Keskinöz İ. Prevertebral Dev Lipoma: Olgu Sunumu. Fırat Tıp Dergisi. February 2010;15(1):58-61.
Chicago Keskinöz, İbrahim. “Prevertebral Dev Lipoma: Olgu Sunumu”. Fırat Tıp Dergisi 15, no. 1 (February 2010): 58-61.
EndNote Keskinöz İ (February 1, 2010) Prevertebral Dev Lipoma: Olgu Sunumu. Fırat Tıp Dergisi 15 1 58–61.
IEEE İ. Keskinöz, “Prevertebral Dev Lipoma: Olgu Sunumu”, Fırat Tıp Dergisi, vol. 15, no. 1, pp. 58–61, 2010.
ISNAD Keskinöz, İbrahim. “Prevertebral Dev Lipoma: Olgu Sunumu”. Fırat Tıp Dergisi 15/1 (February 2010), 58-61.
JAMA Keskinöz İ. Prevertebral Dev Lipoma: Olgu Sunumu. Fırat Tıp Dergisi. 2010;15:58–61.
MLA Keskinöz, İbrahim. “Prevertebral Dev Lipoma: Olgu Sunumu”. Fırat Tıp Dergisi, vol. 15, no. 1, 2010, pp. 58-61.
Vancouver Keskinöz İ. Prevertebral Dev Lipoma: Olgu Sunumu. Fırat Tıp Dergisi. 2010;15(1):58-61.