Pediatric Case With Rapidly Growing Hibernoma Due To Bleeding Into The Mass

Yıl 2011, Cilt: 3 Sayı: 3, 1 - 5, 20.07.2011

Maruf Sanlı , Ersin Arslan Sibel Arslan Kemal Bakır , Levent Elbeylı

Öz

Hibernomas are benign lesions developing from brown adipose tissue; they grow slowly and are very rare. They are mainly seen in adults and are localized on the scapulas, neck, axilla, thighs, intrathoracic and retroperitoneal fields.
13-year-old boy admitted to our clinic with the complaint of a painless mass that appeared on the left side of his neck two weeks ago. On his physical examination, there was a non-mobile, firm mass of 10 cm localized to the left supraclavicular area. In the superficial tissue ultrasonography of the affected area, the mass was evaluated as a hematoma; in color Doppler ultrasound, it did not show any relationship with arteries or veins. In magnetic resonance imaging, there was a 7x4 cm mass on left supraclavicular region between the skin and muscular tissues that appeared hyperintense on T1 and T2 weighted sequences.
Following complete resection, histopathological examination was reported as typical variant hibernoma. The case is presented because of the rarity of hibernomas in children and the difficulty experienced in the diagnosis due to the bleeding into the mass lesion.

Anahtar Kelimeler

Mass on the neck, hibernoma, surgical treatment

Kaynakça

• Eren Gujar S, Gandhi D, Mukherji SK. Pediatric head and neck masses. Top Magn Reson Imaging 2004; 15: 95-101.
• Da Motta AC, Tunkel DE, Westra WH, Yousem DM. Imaging findings of a hibernoma of the neck. AJNR Am J Neuroradiol. 2006; 27: 1658- 1659.
• Peycru T, Tardat E, Schwartz A, Dufau JP, Benois A, Durand-Dastes F. Hibernoma of the neck: a rare benign tumour. Can J Surg. 2009; 52: 52-53.
• Khoshnevis P, Kharazm P, Kaviani A, Moradi A. Hibernoma of the neck: A case report and a review of the literature. The Internet Journal of Surgery 2006; 7: 2.
• Furlong MA, Fanburg-Smith JC, Miettinen M. The morphologic spectrum of hibernoma: A clinicopathologic study of 170 cases. Am J Surg Pathol 2001; 25: 809-814.
• Dursun M, Agayev A, Bakir B, Ozger H, Eralp L, Sirvanci M, et al. CT and MR characteristics of hibernoma: six cases. Clinical Imaging 2008; 32: 42-47.
• Udwadia ZF, Kumar N, Bhaduri AS. Mediastinal hibernoma. Eur J Cardiothorac Surg. 1999; 15: 533-535.
• Moretti VM, Brooks JS, Richard DL. Spindle- cell hibernoma: A clinicopathologic comparison of this new variant. Orthopedics 2010; 33: 52-54.
• Ong SY, Maziak DE, Shamji FM, Matzinger FR, Perkins DG. Intrathoracic hibernoma. Can J Surg. 2002; 45: 145-146.