Tratamiento quirúrgico de fibrolipoma gigante de espalda / Surgical treatment of giant fibrolipoma of the back

Introducción: Los lipomas son los tumores más numerosos de tejidos blandos. Se presenta un caso con enfermedad de Hoffman-Zurhelle asociado a lipoma gigante en región toracodorsal y lipomatosis tratado quirúrgicamente de conjunto con las especialidades de cirugía plástica y cirugía general del Hospital Ameijeiras. Objetivo: Mostrar los resultados del tratamiento quirúrgico de exéresis de tumor gigante de espalda. Caso clínico: Paciente masculino de 34 años de edad que se le realizó bajo anestesia general disección del colgajo dermograso en sentido cefálico hasta línea paravertebral y cuello. Se respetó un centímetro de grosor, abordaje a nivel de la interfase del músculo trapecio y dorsal ancho. Se identificó la cápsula del lipoma que se independizó de las fibras musculares y del plano profundo hasta realizar su exéresis y de la piel excedente con nevo lipomatoso cutáneo superficial. Cierre por planos sin tensión. Conclusiones: Se logró la resección de un fibrolipoma gigante en espalda con una planificación cuidadosa que respetó el aporte vascular de los colgajos, la cobertura cutánea sin tensión y conservó la función muscular en ausencia de complicaciones(AU)

Introduction: Lipomas are the most numerous soft tissue tumors. We present a case of Hoffman-Zurhelle disease associated with giant lipoma in the thoracodorsal region and lipomatosis treated surgically in conjunction with the plastic surgery and general surgery specialties of the Ameijeiras Hospital. Objective: To show the results of surgical treatment of excision of a giant tumor of the back. Clinical case: A 34-year-old male patient underwent dissection of the dermographic flap in cephalic direction up to the paravertebral line and neck under general anesthesia. One centimeter thickness was respected, approaching at the level of the trapezius and latissimus dorsi muscle interface. The lipoma capsule was identified and became independent of the muscle fibers and the deep plane until it was excised, as well as the excess skin with superficial cutaneous lipomatous nevus. Closure by planes without tension. Conclusions: Resection of a giant fibrolipoma on the back was achieved with careful planning that respected the vascular supply of the flaps, the skin coverage without tension and preserved muscle function in the absence of complications(AU)

Síndrome de compresión del túnel del carpo y tercer dedo en gatillo secundarios a un fibrolipoma encapsulado de la muñeca: reporte de un caso / Carpal tunnel compression syndrome and third finger in trigger secondary to an encapsulated fibrolipoma of the wrist: a case report

Resumen: Introducción: la asociación del síndrome del túnel del carpo con tenosinovitis estenosante de la mano es muy rara, aún más, si es generada por un fibrolipoma a nivel del túnel del carpo. El estudio de imagen para detectar este tipo de lesiones en la mano incluye: desde una radiografía con proyección para el túnel del carpo, tomografía axial computarizada y resonancia magnética nuclear; pero éstos no se utilizan habitualmente para el estudio protocolizado del síndrome del túnel del carpo y mucho menos para los dedos en gatillo. Objetivo: el objetivo de este trabajo es reportar un caso en el cual se presenta la sintomatología característica de un síndrome de túnel del carpo, asociada a tercer dedo en gatillo, el cual se maneja con la liberación del nervio mediano por medio de un abordaje de mínima invasión, además de la polea A1. Caso clínico: la paciente persistió con ambas alteraciones y en la revisión secundaria se detectó bloqueo a nivel de la muñeca. Se intervino nuevamente a la paciente y se encontró una tumoración encapsulada, que midió 3.0 × 2.0 × 1.0 cm, con superficie externa lisa, blanquecina, de aspecto ovoide y consistencia blanda «ahulada¼. El estudio anatomopatológico la identificó como un fibrolipoma encapsulado que ocasionó la compresión nerviosa y el bloqueo del tendón flexor. Conclusión: la importancia de este reporte de caso radica en agregar los tumores al repertorio etiológico, que además pueden provocar una compresión del nervio mediano y en que sean aún menos frecuentes como causa de atrapamiento de los tendones flexores de la mano.

Abstract: Introduction: the association of carpal tunnel syndrome with stenosing tenosynovitis of the hand is very rare, even more, if it is generated by a fibrolipoma at the carpal tunnel. The imaging study useful to detect this type of hand injuries are X-ray screening for carpal tunnel, computed tomography and magnetic resonance imaging. But these are not commonly used for the study of protocolized carpal tunnel syndrome and much less trigger finger. Objective: the aim of this work is to report a case of a middle-aged female with carpal tunnel syndrome characteristic symptoms, associated with the third trigger finger; she was handled with the release of the median nerve by a minimally invasive approach, in addition to the A1 pulley release. Clinical case: the patient persists with both problems and at a secondary surgical review, we detected wrist locking sensation. The patient was reoperated finding an ovoid encapsulated tumor, measuring 3.0 × 2.0 × 1.0 cm, with smooth outer surface, whitish appearance, and soft rubbery consistency. The biopsy pathology outlines identified an encapsulated fibrolipoma, causing nerve compression and locking flexor tendon. Conclusion: the importance of this writing is in adding tumors to the etiological repertoire, which can cause compression of the median nerve and even less frequent as a cause of the flexor tendons of the hand snagging.

Fibrolipoma of the hard palate: an uncommon location. Case report / Fibrolipoma del paladar duro: una ubicación poco frecuente. Reporte de caso

Abstract Fibrolipoma, a benign soft tissue adipose tumor, is a histological variant of lipoma. Clinically, it presents as a painless slow-growing mass, indistinguishable from other benign soft tissue tumors. In the oral cavity, it is mainly encountered in the buccal mucosa. Involvement of the palate is very rare; it accounts for around 7-14% of all oral fibrolipomas. In this article, we describe a case of fibrolipoma in the hard palate of a 70-year-old female, who presented with an asymptomatic pedunculated mass, characterized by a normal-colored and smooth surface, which have been present for 20 years. The lesion was excised, and histopathological study revealed a fibrolipoma. To the best of our knowledge, only 17 cases occurring in the palate have been reported in the literature. Since fibrolipoma presents clinical similarities with other benign soft tissue neoplasms, a thorough clinical examination and histopathological analysis are essential for obtaining diagnosis.

Resumen El fibrolipoma es una neoplasia benigna de tejido adiposo, variante histológica del lipoma. Clínicamente se presenta como una tumoración de crecimiento lento, asintomática, indistinguible de otras neoplasias benignas de tejidos blandos. En cavidad oral se presenta principalmente en la mucosa yugal. El paladar es un sitio infrecuente, comprende del 7 al 14% de todos los fibrolipomas. En este reporte, describimos un caso de fibrolipoma de paladar duro en una mujer de 70 años de edad, que presentó una tumoración pediculada, asintomática, de superficie lisa, del mismo color de la mucosa adyacente, con un tiempo de evolución de 20 años. La lesión fue extirpada, y el estudio histopatológico reveló un fibrolipoma. En nuestro conocimiento, se han reportado en la literatura únicamente 17 casos de fibrolipoma de paladar. Siendo que el fibrolipoma presenta similitud clínica con otras neoplasias benignas de tejidos blandos, un examen clínico detallado, así como el estudio histopatológico son esenciales en la obtención del diagnóstico.

Oral fibrolipoma: A report of two cases and review of literature

Fibrolipoma is a benign tumor which is classified as a histological variant of conventional lipoma. It rarely occurs in oral and maxillofacial region. When present, it occurs as a soft, smooth surfaced nodular mass that can be pedunculated or sessile. Most of the lesions are less than 3 cm in size, although it may vary. Fibrolipomas mostly affect buccal mucosa and buccal vestibule and cause functional and cosmetic disabilities. Herniation of buccal pad of fat caused by trauma may also mimic lipoma. Hence, accurate histopathological examination of lipomas is important for a correct treatment plan. Here, we present 2 cases of oral fibrolipoma that presented on the retromolar triangle area and alveolar ridge in relation to missing maxillary right first molar.

Pedunculated Subcutaneous Lipoma in the Popliteal Fossa Causing Eczema

Pedunculated subcutaneous lipoma in the popliteal fossa extending through the superficial fascia causing chronic irritant dermatitis of the adjacent skin with “psoriatic-like” plaque. To the author’s knowledge, no similar case has been reported in the literature.

Oral fibrolipoma: A rare histological variant.

Lipomas are benign soft tissue mesenchymal neoplasms. Fibrolipoma is a histological variant of lipoma that mostly affects the buccal mucosa and causes functional and cosmetic disabilities. The diagnosis and differentiation of fibrolipoma with clinically similar lesions such as fibroma and pleomorphic adenoma is very essential for a correct treatment plan and complete follow-up. This article presents a case of a 35-year-old female with a fibrolipoma on the lingual marginal gingiva of the mandibular left third molar.

Malignant Arrhythmia with Benign Tumour: Fibrolipoma of the Left Ventricle

We report a case of young male referred for evaluation of recent onset recurrent syncope. Inhospital electrocardiogram revealed an episode of ventricular flutter which reverted spontaneously to sinus rhythm. Transthoracic echocardiogram showed hyperechoic mass in the left ventricle. For further tissue characterization a cardiac magnetic resonance imaging was done which revealed a left ventricular mass with predominant fat content. The tumor was surgically resected. Histopathological examination confirmed the diagnosis of cardiac fibrolipoma. The patient recovered and is currently asymptomatic.

Fibrolipomas de cavidad oral: tumores comunes en sitios poco frecuentes: reporte de dos casos y revisión de la literatura / Oral fibrolipoma: unusual presentation of common tumors: report of two cases and review

Los lipomas son tumores mesenquimales benignos compuestos por adipocitos maduros. Corresponden a casi el 50% de los tumores de tejidos blandos, presentes entre el 1 y 5% en cavidad oral, especialmente en mucosa yugal, piso de la boca y márgenes laterales de la lengua. Suelen ser asintomáticos y su color depende del espesor de la mucosa que lo cubre. Histológicamente están conformados por lóbulos de adipocitos maduros rodeados por una cápsula fibrosa. Las variedades histológicas están determinadas por el tejido adicional que contienen; los más frecuentes son el lipoma simple y el fibrolipoma. Su curso es benigno y el tratamiento consiste en la escisión quirúrgica. En el presente artículo se reportan dos casos de fibrolipoma, un tumor común en una localización poco frecuente.

Lipomas are benign mesenchymal tumors of mature adipocytes. They correspond to almost 50% of soft tissue tumors, 1 to 5% of them localized in the oral cavity, especially in the oral mucosa, floor of mouth and lateral edges of the tongue. Oral lipomas are usually asymptomatic and the color depends of the thickness of the overlying mucosa. Histologically there are lobules of mature adipocytes surrounded by a fibrous capsule, and there are several types according to the additional tissue, being the most frequent the single lipomas and fibrolipomas. The course is benign and the definitive treatment is surgical excision. This article reports two cases of fibrolipoma, a common tumor in an unusual presentation.

Fibrolipoma gigante de la espalda / Fibrolipome géant du dos / Back giant fibrolipoma

Introducción: en el cumplimiento de una misión internacionalista en la Clínica del Colaborador, ubicada en La Paz, Bolivia, se presentó una niña de 12 años de edad, portadora de una gran tumoración en la espalda, acompañada de otras deformidades, que no había sido tratada por carecer de recursos económicos. Los médicos que la habían visto antes habían expresado que al realizar una cirugía, único modo de resolver la situación, no se garantizaba la vida de la menor y también por el hecho de residir en una región intrincada del país. El objetivo de esta comunicación es mostrar un caso poco común en la práctica diaria y el resultado de su tratamiento. Descripción: el tratamiento realizado fue eminentemente quirúrgico, apoyado en un tratamiento higiénico-dietético adecuado y la posterior rehabilitación. Los resultados fueron excelentes; finalmente pudo restituirse a la paciente a su lugar de residencia, su escuela y la sociedad. Conclusiones: la tumoración gigante de la espalda, acompañada de otras deformidades en la paciente, se resolvieron después de un tratamiento adecuado(AU)

Introducción: in the fulfilment of an internationalist mission in the Clinic of Collaboration located in La Paz, Bolivia, the Cuban physicians received the case of a girl aged 12 carrier of a big back tumor, together with other deformities, never before treated due to a lack of economic resources. The previous physicians had expressed that the surgery was the only way to solve the situation but without to guarantee the life of patient and also due to she lives in a dense region of the country. The objective of this communication is to show a uncommon case in the daily practice and the result of its treatment. Description: the treatment applied was totally surgical, supported by a proper hygienic-dietetic treatment and its latter rehabilitation. Results were excellent; finally it was possible to refer patient to her place of residence, its school and the society. Conclusions: the giant back tumor, together with other deformities in the patient, disappeared after an appropriate treatment(AU)

Introduction: pendant une mission de collaboration médicale en Bolivie, on a pu constater le cas d'une fille âgée de 12 ans atteinte d'une tumeur dorsale, accompagnée d'autres difformités, et sans traitement-faute de ressources économiques pour se faire soigner, ayant été assistée à la Clinique du collaborateur, à La Paz. D'autres médecins l'ayant vue auparavant avaient déconseillé le traitement chirurgical, seule solution à son problème, à cause du risque pour sa vie et de l'éloignement de son domicile. Le but de ce travail est de rapporter un cas peu fréquent dans la pratique quotidienne, et le résultat de son traitement. Description: le traitement a été certainement chirurgical, soutenu par une hygiène et une diète de qualité, et une bonne rééducation. Les résultats ont été excellents, la patiente a pu se réincorporer à son milieu familial, à son école et à la société. Conclusions: la tumeur géante du dos, accompagnée d'autres difformités, a disparu après l'application du traitement approprié(AU)

A Case of Fibrolipoma of the Colon / 대한소화기내시경학회지

Lipomas of the gastrointestinal tract are rare, and most of them are frequently seen in the colon. This tumor is classified into subtypes by the proportion of the inner mesenchymal components. Fibrolipoma, as a variant type of lipoma, is rich in the fibrous component. It is generally detected incidentally, but sometimes symptoms such as bleeding, abdominal pain or anemia can be observed according to the size, shape and location of the tumor. It can be resected surgically or endoscopically, and then it can be confirmed by the pathologic diagnosis. Recurrence can occur, so follow-up evaluation is needed. We report here on a case of a fibrolipoma of the colon, and the tumor was endoscopically resected.

A Case of Fibrolipoma / 대한피부과학회지

Fibrolipoma is a rare variant of lipomas which shows distinct pathologic findings with both component of mature adipose cells and broad bands of dense fibrous connective tissue. A 52-year-old woman presented with 2X2cm sized, indurated, slightly elevated and slightly tender subcutaneous mass which slowly enlarged during the last four to five years accompanied by slight tenderness on the right upper back. The laboratory examination showed non-specific findings. Histopathologic findings revealed a well-defined mass composed of eosinophilic dense connective tissue bands with mature adipose cells scattered throughout the mass. The lesion was totally excised and she showed no evidence of recurrence after 6 months of follow-up.

A Case of Fibrolipoma on the Palm

Fibrolipoma is a rare histological variant of lipoma characterized by proliferation of mature fat and fibrous tissue. Most of the benign lipomatous tumors in the palm reported in the literature developed in the nervous tissue, especially the median nerve sheath. We report an unusual form of fibrolipoma on the palm which arose from the subcutaneous tissue or superficial palmar fascia in the palm, not the nerve or tendon sheath. There was no recurrence 3 years after surgical removal was performed.

A Case of Fibrolipoma

Fibrolipoma is an uncommon variant of lipomas which shows a distinct pathologic findings with both component of mature adipose cells and broad bands of dense fibrous connective tissue. A 30-year-old woman developed an 5×7cm sized, indurated, ill-defined, subcutaneous mass on the right axilla. Microscopically, the tumor contained broad bands of dense connective tissue with mature adipose tissue scattered throughout the mass, but it did not show encapsulation. The lesion was excised and she showed no evidence of recurrence after 6 months of follow-up.

Clinicohistopathologic Study of 121 Patients with Subcutaneous Lipomas / 대한피부과학회지

We reviewed the clinico-histopathologic aspects. of 121 patients diagnosed as subcutaneons lipamas in 1981~1986, Additionally, the size of lipoma cells was statistica,lly compared with normal controls. The results were obtained as follows: The majority of patients visited the surgical department, specially general surgcry, whereas only 7 visited dermatology. The ratio of solitary to multiple type was 10:1. Females predominated in the patients with solitary type, outnumbering males in multiple type. While solitary type consisted of 98 patients (89.1%) with SL, 10 with FL and 3 with AL, multiple type had 7 with SL and 4 with AL. There were prominent incidences in the 5th and 6th decades followed by a slow decline. Faur of all 6 AL patients were multiple type. Males were affected in all but one. All AL patients showed non-infiltrating. The torso was mostly involved in 60.4% In 7 of all 17 AL lesions, the upper extremity was predorninantly involved. Sixty sevenr of the 136 masses were less than,3cm in diameter. In AL lesions, 76.5% was less than 3cm and likely to be smaller than other 2 types. The presumed time of onset was most common in 1~3 years The size of liporna cells was found to be slightly larger in only SL specimens than in controls(63.65+432pm and 56.32+6.50um respectively; p<0.0l).