BibTex RIS Kaynak Göster

An Uncommon Presentation of a Common Benign Tumour

Yıl 2015, Cilt: 22 Sayı: 3, 191 - 193, 14.12.2015

Öz

Lipom en yaygın benign mezenkimal yumuşak doku tümörüdür. Matür adipositlerden oluşur, daha sık obez hastalarda subkutan dokuda görülür. Subkutan lipom genellikle baş boyun bölgesi yerleşimlidir. Vulvar lipom oldukça nadirdir.

72 yaşında obez kadın hasta vulvada ağrısız şişlik şikayeti ile başvurdu. Fizik muayenede sağ vulvada yaklaşık 15 cm çaplı tek, yumuşak, mobil kitle palpe edildi. Eksize edilen materyal 13 cm çaplı fibröz kapsülle örtülü matür yağ dokusu görünümündeydi. Mikroskobik inceleme sonucu lipom tanısı konuldu.

Vulvar lipom benign klinik gidiş gösterir. Tedavi edilmezse büyük boyuta ulaşabilir. Malignite olasılığını dışlamak için tedavi komplet cerrahi eksizyon olmalıdır. Bu olgu İngilizce literatürde rapor edilmiş en büyük vulvar lipomlardan biridir.

Key Words: Lipom; Vulva; Dev Lipom.

Kaynakça

  • Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant Vulvar Lipoma in an Adolescent Girl: A Case Study and Literature Review. J Pediatr Adolesc Gynecol. 2014;27(5):e117-9.
  • Goldblum JR, Folpe AL, Weiss SW. Benign lipomatous tumors. In: Weiss SW, Goldblum JR, eds. Enzinger and Weiss’s Soft Tissue Tumors. 6th editon. Philadelphia: Elsevier Saunders; 2014. p.443-83.
  • Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci. 2008;23(4):744-6.
  • Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare? Ghana Med J. 2011;45(3):125-7.
  • Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1999;84(1):5-6.
  • Oh JT, Choi SH, Ahn SG, Kim MJ, Yang WI, Han SJ. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg. 2009;44(10):1920-3.
  • Aust MC, Spies M, Kall S, Gohritz A, Boorboor P, Kolokythas P,et al. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. Br J Dermatol. 2007;157(1):92-9
  • Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. Lipoma, Atypical lipomatous tumour. In: Nielsen GP, Mandahl N, Dei Tos AP, Pedeutour F, eds. World Health Organization Classification of Tumours of Soft Tissue and Bone. 4th edition. Lyon: IARC; 2013. p.20-21,35-6.

Journal of Turgut Ozal Medical Center

Yıl 2015, Cilt: 22 Sayı: 3, 191 - 193, 14.12.2015

Öz

Lipoma is the most common benign mesenchymal soft tissue tumor. It consists of mature adipocytes, usually located in subcutaneus tissues and occurs more frequently in obese patients. Subcutaneous lipoma is usually found in the head and neck regions. Vulvar lipoma is extremely rare. A 72-year-old obese woman was admitted to our hospital with a painless vulvar mass. Physical examination revealed a single, soft, mobile mass in the right vulvar area that measured about 15 cm in its widest dimensions. The excised specimen measured 13 cm and had a yellow cut surface, surrounded by a fibrous capsule. Microscopic examination confirmed the diagnosis of lipoma. Vulvar lipoma has benign clinical course. If this lesion is untreated, it may grow large. To exclude the possibility of malignancy, surgical excision must be performed. This case is one of the biggest vulvar lipoma cases reported in the Anglophone medical literature

Kaynakça

  • Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant Vulvar Lipoma in an Adolescent Girl: A Case Study and Literature Review. J Pediatr Adolesc Gynecol. 2014;27(5):e117-9.
  • Goldblum JR, Folpe AL, Weiss SW. Benign lipomatous tumors. In: Weiss SW, Goldblum JR, eds. Enzinger and Weiss’s Soft Tissue Tumors. 6th editon. Philadelphia: Elsevier Saunders; 2014. p.443-83.
  • Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci. 2008;23(4):744-6.
  • Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare? Ghana Med J. 2011;45(3):125-7.
  • Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1999;84(1):5-6.
  • Oh JT, Choi SH, Ahn SG, Kim MJ, Yang WI, Han SJ. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg. 2009;44(10):1920-3.
  • Aust MC, Spies M, Kall S, Gohritz A, Boorboor P, Kolokythas P,et al. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. Br J Dermatol. 2007;157(1):92-9
  • Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. Lipoma, Atypical lipomatous tumour. In: Nielsen GP, Mandahl N, Dei Tos AP, Pedeutour F, eds. World Health Organization Classification of Tumours of Soft Tissue and Bone. 4th edition. Lyon: IARC; 2013. p.20-21,35-6.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Tr
Bölüm Makaleler
Yazarlar

Elif Usturalı Keskin

Emel Ebru Pala Bu kişi benim

Ebru Çakır Bu kişi benim

Cüneyt Eftal Taner Bu kişi benim

Serhat Sarıkaya Bu kişi benim

Fatih Keskin Bu kişi benim

Yayımlanma Tarihi 14 Aralık 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 22 Sayı: 3

Kaynak Göster

APA Usturalı Keskin, E., Pala, E. E., Çakır, E., Eftal Taner, C., vd. (2015). An Uncommon Presentation of a Common Benign Tumour. Journal of Turgut Ozal Medical Center, 22(3), 191-193.
AMA Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. Aralık 2015;22(3):191-193.
Chicago Usturalı Keskin, Elif, Emel Ebru Pala, Ebru Çakır, Cüneyt Eftal Taner, Serhat Sarıkaya, ve Fatih Keskin. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center 22, sy. 3 (Aralık 2015): 191-93.
EndNote Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F (01 Aralık 2015) An Uncommon Presentation of a Common Benign Tumour. Journal of Turgut Ozal Medical Center 22 3 191–193.
IEEE E. Usturalı Keskin, E. E. Pala, E. Çakır, C. Eftal Taner, S. Sarıkaya, ve F. Keskin, “An Uncommon Presentation of a Common Benign Tumour”, J Turgut Ozal Med Cent, c. 22, sy. 3, ss. 191–193, 2015.
ISNAD Usturalı Keskin, Elif vd. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center 22/3 (Aralık 2015), 191-193.
JAMA Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. 2015;22:191–193.
MLA Usturalı Keskin, Elif vd. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center, c. 22, sy. 3, 2015, ss. 191-3.
Vancouver Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. 2015;22(3):191-3.