Dev Lipom: Olgu Sunumu

Abstract

Lipom insan vücudunun mezenkimal kaynaklı en sık neoplazmı olarak karsımıza çıkmaktadır. Asemptomatik olmaları nedeniyle nadiren de olsa dev boyutlara ulaşabilirler. Ayırıcı tanıda birçok benign ve malign tümoral yapı ile karışabilmesine rağmen tedavide total cerrahi eksizyon yeterlidir. Görülme yaşı ortalama 5. dekaddır ve erkeklerde 5-10 kat sık ortaya çıkmaktadır. Biz bu yazımızda sırtta yaklaşık 20 cm boyutlarında dev kitle şikayeti ile başvuran ve eksizyon sonucu patolojik incelemede lipom olarak değerlendirilen 66 yasında erkek hastayı literatür eşliğinde sunduk.

Keywords

• Lipom, Sırt, Mezenkimal tümör, Cerrahi

A Giant Lipoma: A Case Report

Abstract

Lipoma is the most common mesenchymal neoplasm in the human body. They may rarely become giant masses due to their asymptomatic nature. 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 66 years old male with a giant back mass with a diameter of 20 cm and diagnosed as lipoma after its removal and histopathological examination, and reviewed the literature

Keywords

• Lipoma, Back, Mesenchymal neoplasm, Surgery

References

1. 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.
2. Kohler S. Muscle, adipose and cartilage neoplasms. In Bolognia Jl, Jorizzo Jl, Rapini RP. eds. Dermatology, Edinburgh: Mosby; 2003:1883-98.
3. Robbins SL, Cotran Sr, Kumar V: Pathologic basis of disease, 3. Baskı,1984: W.B. Saunders Philadelphia, sayfa: 270.
4. Yoshihara T, Kawano K, Mita N. Retropharyngeal lipoma causing severe dysphagia and dyspnea. J Otolaryngol. 1998;27:363-6.
5. Piattelli A, Fioroni M, Rubini C. Intramuscular lipoma of the cheek: a case report. J Oral Maxillofac Surg. 2000;58:817- 9.
6. 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.2005:394-8.
7. Sanchez M, Golomb F, Moy J, Potozkin JR. Giant lipoma. Case report and review of the literature. Am J Acad Dermatol. 1993;28:266-70.
8. Üstündağ N, Dervişoğlu S. Recently described lipomatous tumors and our 11 year-experience on lipomatous tumors. Cerrahpaşa J Med 2003;34:119-26.

9. Weiss SW, Goldblum JR. Enzinger and Weiss’s Soft Tissue Tumors. 4th ed. St Louis: Mosby, 2001:571-639.
10. Turc CC, Dalcin P, Boghosian L. Breakpoints in benign lipoma may be at 12q13 or 12q14. Cancer Genet Cytogenetic. 1988;36:131-3.
11. Signorini M, Gian Luca P. Posttraumatic Lipomas: Where do really come from? Plastic and Recons Surg. 1998;101:699–705.