Giant Lipoma In An Unusual Location: A Case Report

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

• Giant lipoma, shoulder, parosteal lipoma

Sıradışı Yerleşimli Dev Lipoma: Olgu Sunumu

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

• Dev lipoma, omuz, parostela lipoma

Kaynakça

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