Öz
Lipomas are common in subcutaneous tissues. Main complication of lipomas are pain and cosmetic defects. We present a case of lipoma located below the deltoid muscle. This is a very unusual location, hence a biopsy was needed for the differential diagnosis. Serious complications may occur due to proximity to the axillary nerve. Due to mass effect of the lipoma, deltoid muscle fibers were elongated and lost their tonus. To remove the lipoma safely, we separated the deltoid muscle from the acromial origin, and shortened the deltoid muscle fibers to restore their tonus.
Key words:
Anahtar Kelimeler
Kaynakça
- Liu DR, Li C, Chen L. Management of giant intermuscular lipoma of hips: A case report and review of literature. Mol Clin Oncol. 2013;1(2):369-372.
- Weiss Sw, Goldblum JR. Bening Lipomatous tumors. In: Enzinger and Weiss’ s soft tissue tumors. 4th edition. St.Louis: Mosby, 2001, 571-639.
- Silistreli OK, Durmuş EU, Ulusal BG, Oztan Y, Görgü M. What should be the treatment modality in giant cutaneous lipomas? Review of the literature and report of 4 cases. Br J Plast Surg. 2005;58(3):394-398.
- Elbardouni A, Kharmaz M, Salah Berrada M, Mahfoud M, Elyaacoubi M. Well-circumscribed deep-seated lipomas of the upper extremity. A report of 13 cases. Orthop Traumatol Surg Res. 2011;97(2):152-158.
- Rohrbough JT, Jobe CM. Subdeltoid lipoma presenting as subluxation of the glenohumeral joint. J Shoulder Elbow Surg. 1995;4:225-227.
- Rosai J, Akerman M, Dal Cin P, DeWever I, Fletcher CD, Mandahl N, et al. Combined morphologic and karyotypic study of 59 atypical lipomatous tumors. Evaluation of their relationship and differential diagnosis with other adipose tissue tumors (a report of the CHAMP StudyGroup). Am J SurgPathol. 1996;20:1182-1189.
- Johnson CJ, Pynsent PB, Grimer RJ. Clinical features of soft tissue sarcomas. Ann Roy Coll Surg Eng. 2001;83:203-205.
- Pettersson H, Hamlin DJ, Mancuso A, Scott KN. Magnetic resonance imaging of the musculoskeletal system. Acta Radiol Diagn (Stockh). 1985;26:225-234.
- Drevelegas A, Pilavaki M, Chourmouzi D. Lipomatous tumors of soft tissue: MR appearance with histological correlation. Eur J Radiol. 2004;50(3):257-267.
- Tamai K, Osada D, Mori K, Takizawa K, Hamada J, Saotome K. Subdeltoid approach for removal of large soft-tissue lesions beneath the deltoid muscle: report of two cases. J Shoulder Elbow Surg. 2003;12:520-523
Öz
Biz deltoid altında yerleşimi nadir olan lipoma olgusunu sunduk. Lipomanın bu bölgede yerleşimi nadir olduğu için eksizyon öncesi diğer yumuşak doku kitlelerinden ayırım için biopsi yapılmalı. Kitlenin aksiler sinir ile yakın ilişkisi nedeni ile deltoid kasın akromiona yapışma yerinden ayrılması güvenli ve geniş bir yaklaşım sağlamaktadır. İlaveten kitle etkisiyle elonge olup tonusu azalan deltoid liflerinin tonusunu tekrar sağlamak için güvenli bir yaklaşımdır.
Anahtar Kelimeler
Kaynakça
- Liu DR, Li C, Chen L. Management of giant intermuscular lipoma of hips: A case report and review of literature. Mol Clin Oncol. 2013;1(2):369-372.
- Weiss Sw, Goldblum JR. Bening Lipomatous tumors. In: Enzinger and Weiss’ s soft tissue tumors. 4th edition. St.Louis: Mosby, 2001, 571-639.
- Silistreli OK, Durmuş EU, Ulusal BG, Oztan Y, Görgü M. What should be the treatment modality in giant cutaneous lipomas? Review of the literature and report of 4 cases. Br J Plast Surg. 2005;58(3):394-398.
- Elbardouni A, Kharmaz M, Salah Berrada M, Mahfoud M, Elyaacoubi M. Well-circumscribed deep-seated lipomas of the upper extremity. A report of 13 cases. Orthop Traumatol Surg Res. 2011;97(2):152-158.
- Rohrbough JT, Jobe CM. Subdeltoid lipoma presenting as subluxation of the glenohumeral joint. J Shoulder Elbow Surg. 1995;4:225-227.
- Rosai J, Akerman M, Dal Cin P, DeWever I, Fletcher CD, Mandahl N, et al. Combined morphologic and karyotypic study of 59 atypical lipomatous tumors. Evaluation of their relationship and differential diagnosis with other adipose tissue tumors (a report of the CHAMP StudyGroup). Am J SurgPathol. 1996;20:1182-1189.
- Johnson CJ, Pynsent PB, Grimer RJ. Clinical features of soft tissue sarcomas. Ann Roy Coll Surg Eng. 2001;83:203-205.
- Pettersson H, Hamlin DJ, Mancuso A, Scott KN. Magnetic resonance imaging of the musculoskeletal system. Acta Radiol Diagn (Stockh). 1985;26:225-234.
- Drevelegas A, Pilavaki M, Chourmouzi D. Lipomatous tumors of soft tissue: MR appearance with histological correlation. Eur J Radiol. 2004;50(3):257-267.
- Tamai K, Osada D, Mori K, Takizawa K, Hamada J, Saotome K. Subdeltoid approach for removal of large soft-tissue lesions beneath the deltoid muscle: report of two cases. J Shoulder Elbow Surg. 2003;12:520-523
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 1 |