Anterior Cervical Giant Lipoma: Case Report

Year 2009, Volume: 14 Issue: 1, 101 - 103, 01.02.2009

Hafiz Mehdiyev

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

-

Anterior Servikal Dev Lipom: Olgu Sunumu

Abstract

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.

Keywords

Lipom, boyun, cerrahi

References

• Yazıcıoğlu AK, Akan H, Çelebi M. Parotid Bezi Lipomu. Tanısal ve Girişimsel Radyoloji. 2002; 8:203-205.
• Zhong LP, Zhao SF, Chen GF, Ping FY. Ultrasonograp- hicappearance of lipoma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98: 738-40.
• Sanchez M, Golomb F, Moy J, Potozkin JR. Giant lipoma. Case report and review of the literature. Am J Acad Dermatol. 1993: 28; 266-270.
• Copcu E, Sivrioğlu N. Posterior cervical giant lipomas. Plast Reconstr Surg. 2005: 115; 2156-2157.
• Pinop Rivero V, Triniad Ruiz G, Pardo Romeno G. Cervical giant lipoma. Clinical report of a case and differential diagnosis. An Otorinolaryngol Ibero Am. 2005: 32; 345-351.
• Silistreli OK, Durmus EU, Ulusal BG, Oztan Y, Gorgu M. What should be the treatment modality in giant cutaneus lipomas? Review of the literature and report of 4 cases. Br J Plast Surg. 2005: 394-398.
• Yılmaz YF, Titiz A, Sahin C, Tezer MS, Ünal A. Posterior cervical giant lipomas KBB ve BBC Dergisi, 14 (1-2-3):87-89, 2006
• Zhong LP, Zhao SF, Chen GF, Ping FY. Ultrasonographic appearance of lipoma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98:738-40.
• Rosai J. Ackerman’s Surgical Pathology. 8 th ed, Mosby-Year Book, St Louis 1996; 815-857.
• Salvatore C, Antonio B, Del Veccio W, et al. Giant infiltrating lipoma of the face: CT and MR imaging findings. Am J Neuroradiol. 2003: 24; 283-288.
• Yoshihara T, Kawano K, Mita N. Retropharyngeal lipoma causing severe dysphagia and dyspnea. J Otolaryngol. 1998:27; 363-366.
• Stewart MG, Schartz MR, Alfrod BR. Atypical and malignant lipomatous lesions of the head and neck. Arch Otolaryngol Head Neck Surg 1994; 120:1151-5
• Mc Daniel RK. Benign mesenchymal neoplasm: neoplasm of adipose tıssue: In Gnepp EA, ed. Surgical pathology of the salivary glands. Philadelphia; WB. Saundary company; 1991; 503-505.
• Turc CC, Dalcin P, Boghosian L. Breakpoints in benign lipoma may be at 12q13 or 12q14. Cancer Genet Cytogenetic. 1988:36; 131-133.
• Copcu E, Sivrioglu N. Posttraumatic lipoma: Analsis of 10 cases and explanation of possible mechanisms. Dermatol Surg. 2003:29; 215-218.
• Kabul Tarihi: 28.05.2008