ABSTRACT
Los lipomas colónicos son tumores benignos poco frecuentes, extremadamente raros a nivel rectal. A pesar de ello, ocupan el segundo lugar en frecuencia detrás de los pólipos adenomatosos. Aunque la mayoría de los lipomas colorrectales son asintomáticos y se descubren incidentalmente, en ocasiones pueden ser sintomáticos y determinar complicaciones agudas que requieren tratamiento quirúrgico de urgencia. Estas formas de presentación pueden confundirse con las del cáncer colorrectal, constituyendo un desafío diagnóstico y terapéutico. Presentamos el caso de una paciente que consultó en emergencia por una gran masa dolorosa de aparición aguda a nivel del ano, resultando ser un lipoma rectal prolapsado a través del canal anal.
Colonic lipomas are infrequent benign tumors, extremely rare at the rectum. Nevertheless, they follow in frequency polyp adenomas. Even though most colorectal lipomas are asymptomatic and incidental, they can occasionally be symptomatic and develop acute complications that require urgent surgical treatment. This form of presentation can be confounded with colorectal cancer, therefore impairing diagnosis and treatment. We present the case of a female patient who came to the emergency room with an acute painful mass through the anus, that resulted in a prolapsed rectal lipoma.
Os lipomas colônicos são tumores benignos pouco frequentes, extremamente raros no nível retal. Apesar disso, ocupam o segundo lugar em frequência atrás dos pólipos adenomatosos. Embora a maioria dos lipomas colorretais sejam assintomáticos e descobertos incidentalmente, às vezes eles podem ser sintomáticos e levar a complicações agudas que requerem tratamento cirúrgico de emergência. Essas formas de apresentação podem ser confundidas com as do câncer colorretal, constituindo um desafio diagnóstico e terapêutico. Apresentamos o caso de um paciente que consultou na sala de emergência por uma grande massa dolorosa de início agudo ao nível do ânus, que acabou por ser um lipoma retal prolapsado pelo canal anal.
Subject(s)
Humans , Female , Middle Aged , Anal Canal/pathology , Rectal Neoplasms/diagnosis , Rectal Prolapse/diagnosis , Lipoma/diagnosis , Anal Canal/surgery , Rectal Neoplasms/surgery , Rectal Prolapse/surgery , Cancer Pain , Lipoma/surgeryABSTRACT
Se describe el caso clínico de una paciente de 32 años de edad, con antecedentes de esquizofrenia paranoide, atendida en la consulta de Ortopedia y Traumatología del Hospital General Docente Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, por presentar aumento de volumen en la cara interna del muslo izquierdo que le dificultaba la marcha. Al examen físico se observó un tumor de aproximadamente 20 cm, no doloroso a la palpación, así como blando y pastoso, con límites imprecisos y adherido a planos profundos. Según los estudios imagenológicos efectuados se trataba de tejido graso, por lo que no existía correlación con los elementos aportados al examen físico. Teniendo en cuenta lo anterior se discutió el caso con los imagenólogos y se decidió realizar la exéresis del tumor. Se tomó muestra para biopsia cuyo resultado informó la presencia de un hibernoma. La fémina evolucionó satisfactoriamente y se reincorporó a sus actividades habituales a los 2 meses.
The case report of a 32 years patient with history of paranoid schizophrenia is described. She was assisted in the Orthopedics and Traumatology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, due to an increase of volume in the internal face of the left thigh that difficulted her from walking. A tumor of approximately 20 cm was observed with the physical exam, that was not painful to the palpation, but soft and doughy, with imprecise limits and adhered to deep planes. According to the imaging studies it was an adipose tissue, reason why there was no correlation with the elements obtained with the physical exam. Taking into account the above-mentioned the case was discussed with the imaging specialists and the decision was removing the tumor. A sample for biopsy was taken whose result informed the presence of a lipoma. The woman had a favorable clinical course and she returned to her usual activities 2 months later.
Subject(s)
Lipoma/surgery , Lipoma/diagnosis , Soft Tissue InjuriesABSTRACT
Fibrolipoma is a benign neoplasm characterized by the presence of mature adipose cells separated by broad bands of dense fibrous connective tissue. This pathology is a microscopic variant of lipoma and can affect any part of the body. However, its occurrence in the oral cavity is uncommon. It is usually a smooth-surface lesion, asymptomatic, slow-growing, pedicled, asymptomatic, yellowish or pinkish color when deeper, soft on palpation, occurring mainly in the jugal mucosa. Thus, the aim of this paper is to describe the main clinical, histopathological and treatment characteristics of a clinical case of fibrolipoma. A 67-year-old female patient, leukoderma, had a normochromic, asymptomatic, firm palpation nodule, fibrous consistency, and smooth surface, with a time course of approximately two years, located in the left jugal mucosa. The diagnostic hypotheses were lipoma, fibroma, mucus extravasation phenomenon and giant cell fibroma. The patient underwent excisional biopsy and histopathological examination revealed the definitive diagnosis of fibrolipoma. The patient is in preservation, with no sign of relapse. It is concluded that, although fibrolipoma is a benign lesion, its growth can reach large dimensions, reinforcing the need for surgical excision. It should also emphasize the importance of histopathological examination to differentiate histopathological variations of lipoma.
O fibrolipoma é uma neoplasia benigna, caracterizada pela presença de células adiposas maduras, separadas por largas bandas de tecido conjuntivo fibroso denso. Esta patologia é uma variante microscópica do lipoma e pode acometer qualquer parte do corpo, no entanto, sua ocorrência em cavidade oral é infrequente. Em geral, é uma lesão de superfície lisa, base séssil ou pediculada, assintomática, de crescimento lento, coloração amarelada ou rósea quando mais profunda, mole a palpação, ocorrendo principalmente na mucosa jugal. Assim, o objetivo deste trabalho é descrever as principais características clínicas, histopatológicas e tratamento de um caso clínico de fibrolipoma. Paciente do sexo feminino, 67 anos, leucoderma, apresentava um nódulo pediculado de cor normocrômica, assintomático, firme a palpação, consistência fibrosa e superfície lisa, com tempo de evoluçã de aproximadamente dois anos, localizado em mucosa jugal esquerda. As hipóteses de diagnóstico foram de lipoma, fibroma, fenômeno de extravasamento de muco e fibroma de células gigantes. A paciente foi submetida a biópsia excisional e o exame histopatológico revelou o diagnóstico definitivo de fibrolipoma. O paciente encontra-se em proservação, sem sinal de recidiva. Conclui-se que, apesar de o fibrolipoma ser uma lesão benigna, o seu crescimento pode alcançar grandes dimensões, reforçando a necessidade de excisão cirúrgica. Deve também ressaltar a importância do exame histopatológico para diferenciar as variações histopalógicas
Subject(s)
Humans , Female , Aged , Lipoma/diagnosis , MouthABSTRACT
Resumen Los lipomas son considerados los tumores de origen mesenquimatoso más comunes del tejido blando; de ellos el 13% del total se ubican en cabeza y cuello, pero es difícil encontrarlos en la región oral y maxilofacial. La localización más común de lipomas dentro de la región oral y maxilofacial ha sido reportada en la mucosa bucal, lengua y piso de boca. Los lipomas son neoplasias que se presentan típicamente como una masa suave, de superficie lisa, nodular, amarillenta y asintomática. Histopatológicamente, el lipoma clásico asemeja un tejido normal adiposo y tiene múltiples variantes. Este artículo presenta el reporte de caso de un lipoma oral extenso en un paciente femenino de 46 años de edad en la mucosa yugal, tratado quirúrgicamente con adecuada evolución. Asimismo se realiza la revisión de literatura con sus variantes histopatológicas.
Abstract Lipomas are considered the most frequent mesenchymal tumors of soft tissue, 13% are located in head and neck but it´s difficult to find them in the oral and maxillofacial region. The most common location of lipomas within the oral and maxillofacial region has been reported in the buccal mucosa, tongue and floor of the mouth. Lipomas are neoplasias that typically present as a soft, smooth-surfaced, nodular, yellowish, and asymptomatic mass. Histopathologically, the classical lipoma resembles normal adipose tissue and it has multiple variants. This article presents a case report of a relatively large oral classical lipoma in a 46 year-old woman on mandibular buccal vestibule, along with a review of the literature and its histopatho-logical variants.
Subject(s)
Humans , Female , Middle Aged , Mouth Neoplasms , Lipoma/diagnosis , MexicoABSTRACT
Resumen La hipertrofia lipomatosa del septum interauricular (HLSI) es una entidad cardiaca rara y benigna, que se caracteriza por la acumulación de tejido adiposo dentro de algunos segmentos del septum interatrial. Generalmente, los pacientes son asintomáticos y estas lesiones se descubren de manera incidental mediante estudios de imagen realizados por otras razones, o en el contexto de una autopsia. Se han descrito casos de muerte súbita por alteración del ritmo cardiaco en estos pacientes. El diagnóstico diferencial de la HLSI incluye principalmente tumores cardiacos. Se expone el caso de un paciente de 61 años que, después de un estudio de resonancia magnética cardiaca, realizado por una alteración del ritmo cardiaco, presenta una masa en el septum auricular. El paciente es llevado a cirugía y el estudio histopatológico de la lesión confirma el diagnóstico. Se realiza una revisión de las características clínicas y patológicas de la HLSI.
Abstract Lipomatous Hypertrophy of the Interatrial Septum (LHIS) is a rare and benign cardiac entity that is characterized by the accumulation of adipose tissue within some segments of the interatrial septum. Patients are generally asymptomatic, and these lesions are discovered incidentally by imaging studies performed for other reasons, or in the context of an autopsy. In these patients, there have been described cases of sudden death due to disturbance of the heart rhythm. The differential diagnosis of LHIS mainly includes cardiac tumors. Here we present a case of a 61-year-old patient in whom, after a cardiac magnetic resonance study performed for an abnormal heart rhythm, it was documented a mass in the atrial septum. The patient was taken to surgery, and the histopathological study of the lesion confirmed the diagnosis. We conduct a review of the clinical and pathological characteristics of LHIS.
Subject(s)
Humans , Male , Middle Aged , Atrial Septum/pathology , Heart Neoplasms/diagnosis , Lipoma/diagnosis , HypertrophyABSTRACT
O lipoma é uma neoplasia benigna mesenquimal de rara ocorrência em cavidade bucal, com maior predileção, principalmente pela mucosa bucal, em indivíduos acima da quarta década de vida. Clinicamente o lipoma se caracteriza por um aumento de volume flácido à palpação, de coloração amarelada ou normal de mucosa, com crescimento lento e geralmente assintomático. Histologicamente o lipoma apresenta presença de tecido adiposo maduro com células adiposas de aparência semelhante à gordura normal adjacente, bem circunscrito e podendo apresentar uma fina cápsula fibrosa. O tratamento do lipoma é cirúrgico e consiste na excisão da lesão. Assim, o objetivo do presente trabalho é relatar dois casos de lipoma em cavidade oral localizados em região de mucosa bucal tratado cirurgicamente. Paciente de 50 anos, sexo feminino, melanoderma, cursando com aumento de volume em região de mucosa bucal esquerda com 05 meses de evolução. Ao exame clínico foi possível avaliar lesão em região de mucosa bucal esquerda de aproximadamente 02 cm de diâmetro, flácido à palpação e coloração normal de mucosa. Foi realizada biopsia excisional sob anestesia local e posterior enucleação da lesão. A paciente evolui com 06 meses de pós-operatório sem evidências clínicas de recidiva da lesão ou complicações associadas. O lipoma é de difícil ocorrência em região intra-oral e mesmo quando tratada de maneira conservadora através da enucleação lesão possui baixas taxas de recidiva(AU)
Lipoma is a benign mesenchymal neoplasm of rare occurrence in the oral cavity, with a higher predilection, mainly by the buccal mucosa, in individuals above the fourth decade of life. Clinically lipoma is characterized by an increase in flaccid volume at palpation, yellowing or normal mucosa, with slow and usually asymptomatic growth. Histologically, lipoma has the presence of mature adipose tissue with adipose cells similar in appearance to adjacent normal fat, well circumscribed and may have a thin fibrous capsule. The treatment of lipoma is surgical and involves the excision of the lesion. Thus, the objective of the present study is to report two cases of lipoma in the oral cavity located in a region of buccal mucosa treated surgically. A 50-year-old female patient, melanoderma, with an increase in volume in the region of the left buccal mucosa with 05 months of evolution. At the clinical examination it was possible to evaluate lesion in the region of the left buccal mucosa of approximately 02 cm in diameter, flaccid to palpation and normal mucosa staining. An excisional biopsy was performed under local anesthesia and subsequent enucleation of the lesion. The patient ev olves at 06 months postoperatively without clinical evidence of recurrence of the lesion or associated complications. Lipoma is difficult to perform in the intra-oral region and even when treated conservatively through the enucleation lesion has low rates of relapse(AU)
Subject(s)
Humans , Female , Middle Aged , Lipoma , Lipoma/surgery , Lipoma/diagnosis , Mouth Neoplasms , Lipoma/pathology , Mouth/injuries , Mouth/pathology , Mouth MucosaABSTRACT
Los lipomas de laringe son tumores benignos de crecimiento lento, pero pueden producir síntomas graves como disnea inspiratoria, apneas del sueño y disfagia. Se describe el caso clínico de un paciente con un lipoma extenso de laringe e hipofaringe que consultó por disfagia y disnea inspiratoria intermitente, y que fue tratado con éxito mediante un abordaje transoral con microscopio asistido con cauterio y láser de CO2. (AU)
Laryngeal lipomas are benign, slow-growing tumors, but they can produce severe symptoms such as inspiratory dyspnea, sleep apnea, and dysphagia. We describe the clinical case of a patient with an extensive lipoma of the larynx and hypopharynx who consulted for dysphagia and intermittent inspiratory dyspnea, and who was successfully treated by a transoral approach with microscope and assisted with cautery and CO2 laser. (AU)
Subject(s)
Humans , Male , Female , Middle Aged , Laryngeal Neoplasms/diagnostic imaging , Lipoma/diagnosis , Apnea , Deglutition Disorders , Laryngeal Neoplasms/surgery , Laryngeal Neoplasms/complications , Laryngeal Neoplasms/etiology , Dyspnea , Lipoma/surgery , Lipoma/complications , Lipoma/etiology , Lipoma/physiopathology , Lipoma/pathologyABSTRACT
El lipoma gástrico (LG), es un tumor benigno raro que representa el 5 % de los lipomas gastrointestinales y menos del 1 % de todos los tumores gástricos. Se localizan habitualmente a nivel de la submucosa y generalmente en la región antral. La endoscopia y la tomografía computarizada son las herramientas diagnósticas más utilizadas en el proceso diagnóstico. Dada su relativa rareza, quedan a menudo fuera del diagnóstico diferencial de las masas submucosas gastrointestinales superiores. El objetivo de este manuscrito, es reportar dos casos tratados de forma consecutiva y revisar la literatura existente en esta materia. Se trata de dos pacientes de sexo masculino, de 49 y 69 años de edad, a quienes se diagnosticó una lesión submucosa gástrica por endoscopia y fueron tratados quirúrgicamente y cuyos especímenes fueron estudiados histológicamente, concluyéndose en ambos casos la existencia de un LG. Ambos pacientes evolucionaron de forma correcta y permanecen en controles clínicos y endoscópicos hasta la actualidad, sin inconvenientes. El LG es una entidad poco común, que puede simular una enfermedad maligna. Presentamos dos casos tratados quirúrgicamente con resultados satisfactorios.
Gastric lipoma (GL), is a rare benign tumor that represents 5 % of gastrointestinal lipomas and less than 1 % of all gastric tumors. They are usually located at the level of the submucosa and usually in the antral region. Endoscopy and computed tomography are the diagnostic tools most used in the diagnostic process. Given their relative rarity, they are often left out of the differential diagnosis of the upper gastrointestinal submucosal masses. The aim of this manuscript was to report two cases treated consecutively and review the existing literature on this subject. Two male patients, 49 and 69 years of age, were diagnosed with a gastric submucosal lesion by endoscopy and were treated surgically. The specimens were studied histologically; concluding the existence of a GL in both cases. The two patients evolved adequately and have remained in clinical and endoscopic controls until now, without problems. GL is a rare entity, which can simulate a malignant disease. We present two cases treated surgically with satisfactory results.
Subject(s)
Humans , Male , Middle Aged , Aged , Stomach Neoplasms/surgery , Lipoma/surgery , Stomach Neoplasms/complications , Stomach Neoplasms/diagnosis , Tomography, X-Ray Computed , Abdominal Pain/etiology , Endoscopy, Digestive System , Lipoma/complications , Lipoma/diagnosisABSTRACT
Abstract The present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.
Subject(s)
Humans , Female , Adult , Vulvar Neoplasms/surgery , Vulvar Neoplasms/diagnosis , Lipoma/surgery , Lipoma/diagnosisABSTRACT
El síndrome de Pai se describe como la presencia de 3 anomalías congénitas: fisura de labio medial, pólipos cutáneos nasales y faciales, y lipoma pericallosal. La expresión clínica es variable. El desarrollo neuromadurativo suele ser normal. Existen 42 casos descritos en la literatura. Se proponen distintos tipos de herencia, pero, hasta la actualidad, no existe un gen asignado para esta patología. Se presentan dos pacientes con síndrome de Pai, uno de ellos con hallazgos clínicos aún no descritos (defectos de segmentación vertebral y osteoma coroideo).
Pai syndrome is a very rare congenital disorder characterized by medial cleft lip, nasal and facial cutaneous polyps, and pericallosal lipoma. Broad phenotypic variability exists in this condition. Neurodevelopment is usually normal. Up to date 42 cases have been reported in the literature. Different types of inheritance have been proposed, but most cases are sporadic. No gene has been identified. We report two cases with Pai syndrome, one of them with novel clinical findings as vertebral segmentation defects and choroidal osteoma.
Subject(s)
Humans , Female , Infant , Skin Diseases/diagnosis , Coloboma/diagnosis , Nasal Polyps/diagnosis , Cleft Lip/diagnosis , Agenesis of Corpus Callosum/diagnosis , Lipoma/diagnosis , PhenotypeABSTRACT
Abstract: Liposarcomas correspond to the most common histological subtype of soft tissue sarcomas. They can be subdivided into: well differentiated or atypical lipoma, undifferentiated, myxoid, round, and pleomorphic cells. Atypical lipomas are the most prevalent and usually appear as asymptomatic softened tumors. They are locally aggressive but rarely lead to distant metastases. The diagnosis of this tumor is based on the imaging and histopathologic findings. Treatment consists of excision surgery with complete tumor removal. It has a good prognosis due to the low percentage of distant metastases. We report a rare case of giant atypical lipoma as well as the adopted therapy and evolution.
Subject(s)
Humans , Male , Adult , Soft Tissue Neoplasms/pathology , Lipoma/pathology , Liposarcoma/pathology , Soft Tissue Neoplasms/surgery , Soft Tissue Neoplasms/diagnosis , Biopsy , Buttocks/pathology , Diagnosis, Differential , Lipoma/surgery , Lipoma/diagnosis , Liposarcoma/surgery , Liposarcoma/diagnosisABSTRACT
Dentro de las neoplasias más frecuentes de tejidos blandos mesenquimáticos, el lipoma es el de mayor frecuencia. A nivel de cabeza y cuello, su incidencia es inferior, siendo de 2 a 4 por ciento. En la cavidad bucal, la ubicación más usual es en la lengua. Histológicamente, se observan adipocitos separados por tabiques fibrosos. El diagnóstico diferencial se realiza con tumor de células granulares, neurofibroma, fibroma traumático y malformaciones de las glándulas salivales. En el siguiente artículo se describirá un caso clínico con su técnica quirúrgica.
Among the most frequent neoplasms of soft mesenchymal tissues, lipoma is the most frequent. At head and neck level, the incidence is lower, being 2 to 4 percent. In the oral cavity, the most usual location is on the tongue. Histologically, adipocytes are seen separated by fibrous septa. The differential diagnosis is made with granular cell tumor, neurofibroma, traumatic fibroma and malformations of the salivary glands. The following article will describe a clinical case with its surgical technique.
Subject(s)
Humans , Female , Middle Aged , Lipoma/surgery , Lipoma/diagnosis , Lipoma/pathology , Tongue Neoplasms/classification , Diagnosis, Differential , Lipoma/diagnostic imaging , Oral Surgical Procedures/methods , Radiography, PanoramicABSTRACT
Objetivo: Presentación de un caso y revisión de la literatura. Caso clínico: Varón de 59 años que acude a la consulta de cirugía general por tumoración en miembro inferior derecho. La exploración física revela una tumoración no dolorosa de 3 cm sugestiva de lipoma. Se realiza ecografía que informa de la existencia de una hernia del músculo tibial anterior. Dado que el paciente se encuentra asintomático, se decide tratamiento rehabilitador. Conclusiones: Las hernias musculares, habitualmente localizadas en los miembros inferiores, suponen una entidad a tener en cuenta en el diagnóstico diferencial de tumores de partes blandas. Su diagnóstico es clínico con confirmación ecográfica y su tratamiento habitualmente es conservador, aunque en casos sintomáticos puede requerir cirugía.
Objective: Presentation of a case report and review of literature. Case report: A 59-years old male came to the Outpatient Clinic complaining of a painless lump in right lower limb. Physical examination revealed a 3 cm diameter tender lump, suggestive of lipoma. Ultrasonography revealed a hernia in the tibial anterior muscle. Given that the patient was asymptomatic, rehabilitation treatment was decided. Conclusions: Muscular hernias, usually located in lower limbs, must be considered in the differential diagnosis of soft tissue lumps. Diagnosis is usually confirmed with ultrasonography and conservative treatment is indicated, though symptomatic cases might require surgery.
Subject(s)
Humans , Male , Middle Aged , Hernia/diagnosis , Lipoma/diagnosis , Muscular Diseases/diagnosis , Diagnosis, DifferentialABSTRACT
Introducción: los lipomas son tumores mesenquimales benignos que consisten esencialmente en adipocitos maduros, poco comunes en la cavidad oral comparada con otras superficies corporales. Lesiones de gran tamaño son relativamente raras y el labio inferior no es un sitio muy habitual. Se caracteriza por ser una lesión de crecimiento lento que puede alcanzar grandes dimensiones y son generalmente asintomáticos. Objetivo: caracterizar un caso de lipoma gigante en el labio inferior con algunas características clínicas e histopatológicas de esta lesión. Presentación del caso: se describe un caso de lipoma gigante que afecta el labio inferior de un paciente de 55 años de edad, de sexo masculino con una evolución asintomática de ocho años. Se realizó una exéresis completa y el examen histopatológico reveló un lipoma. Conclusiones: el paciente está bajo seguimiento y sin signos de recidiva. Las características clínicas y microscópicas fueron de gran importancia para el diagnóstico(AU)
Introduction: lipomas are benign mesenchymal tumors which consist essentially of mature adipocytes, and are relatively uncommon in the oral cavity comparing with other body surfaces. Large lesions are relatively rare and lower lip is not a very usual site. This is characterized as a slow growing lesion which might reach large dimensions and are usually asymptomatic. Objective: to show a case of giant lipoma affecting lower lip and to comment on its clinical and microscopic features. Case report: in this study, we describe a case of giant lipoma affecting lower lip of a 55 years-old male with an asymptomatic evolution of eight years. We performed a complete excision, and the histopathological examination revealed a lipoma. Conclusions: actually, the patient is under follow up without signs of recurrence. The clinical and microscopic characteristics were very important for the diagnosis(AU)
Subject(s)
Humans , Male , Middle Aged , Lip Neoplasms/surgery , Lipoma/diagnosis , Lipoma/pathologyABSTRACT
Intestinal lipomas can occur anywhere in the gastrointestinal tract, and these tumors are more frequent in the colon. By being largely asymptomatic, colonic lipomas are usually found incidentally, as findings in colonoscopy examinations, in association with biopsy. Endoscopic or surgical resection is the therapeutic option, depending on the size of the tumor, its location, and the presence or absence of symptoms. In this study, we present a case of a 59-year old woman, with a descending colon lipoma histologically diagnosed only after surgical resection of the lesion. The approach was adopted according to the patient's clinical picture (intestinal bleeding, vomiting and weight loss), in addition to the occlusion of 80% of the colonic lumen observed in a colonoscopy.
Os lipomas intestinais podem ocorrer em qualquer parte do trato gastrointestinal, sendo mais frequente no cólon. Por serem em grande parte assintomáticos, os lipomas colônicos são usualmente encontrados acidentalmente como achados de exame de colonoscopia associada à biópsia. Como opções de tratamento, há a ressecção endoscópica ou cirúrgica, a depender do tamanho do tumor, sua localização e presença (ou não) de sintomas. Nesse relato, é apresentado um caso de uma mulher de 59 anos com lipoma de cólon descendente, diagnosticado histologicamente apenas após ressecção cirúrgica da lesão. A conduta foi adotada pelo quadro clínico de enterorragia, vômitos e perda ponderal, além da oclusão de 80% da luz do cólon observada em exame de colonoscopia.
Subject(s)
Humans , Female , Middle Aged , Colon, Descending , Lipoma , Lipoma/surgery , Lipoma/diagnosis , Colonoscopy , Colon, Descending/anatomy & histology , Endoscopic Mucosal ResectionABSTRACT
El hibernoma o lipoma de grasa parda, es un tumor benigno extremadamente infrecuente. Presentamos el caso, de un paciente femenino de 12 años de edad con una tumoración gigante en región dorsal, de origen congénito, con una extensión desde la región cervical baja hasta el sacro, presentaba con ausencia de los músculos de la región glútea, se realizó estudios de imagen, así como química sanguínea, donde se evidencio anemia severa y desnutrición proteico energética, se organizó un equipo multidisciplinario centrado al tratamiento definitivo de la lesión, la cual provocaba además seria deformidad de la columna lumbar (cifoescoliosis), se logró la resección completa de la lesión, con un peso total de 12 Kg, con reconstrucción de los bordes anales sin afectar el esfínter anal, se mantuvo bajo seguimiento durante 1 años sin presentar ninguna recidiva de la lesión.
The hibernoma or fetal brown fat, is an uncommon benign tumor. We report a case with an unusual mass in a 12 years old female, in dorsal region, congenital origin, with extension from down cervical region until sacral region, absence of gluteal region muscle. We did image study and blood test, with diagnosis of severe anemia and malnutrition. We organized multidisciplinary team to do final treatment for the lesion that caused important deformity to lumbar spine (kyphoscoliosis), the surgical team achieved gross total resection of tumor, with 12 kg of total weight and reconstruction of anal edge without damage of sphincter, follow up during one year without recurrence.
Subject(s)
Humans , Female , Child , Cervical Vertebrae , Magnetic Resonance Imaging/methods , Lipoma/diagnosis , Spine , Sacrum/pathology , Tomography, X-Ray Computed/methods , Adipose Tissue, Brown , Diagnostic Imaging , ScoliosisABSTRACT
Abstract: CLOVES syndrome is a rare, newly described, and relatively unknown syndrome, related to somatic mutations of the PIK3CA gene. Clinical findings include adipose tissue overgrowth, vascular malformations, epidermal nevi, scoliosis, and spinal deformities. This report deals with a characteristic phenotype case, highlighting peculiar cutaneous and radiological changes.
Subject(s)
Humans , Male , Child, Preschool , Vascular Malformations/diagnosis , Lipoma/diagnosis , Musculoskeletal Abnormalities/diagnosis , Nevus/diagnosis , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/diagnostic imaging , Magnetic Resonance Imaging , Adipose Tissue/abnormalities , Vascular Malformations/diagnostic imaging , Photograph , Lipoma/diagnostic imaging , Musculoskeletal Abnormalities/diagnostic imaging , Nevus/diagnostic imagingSubject(s)
Humans , Female , Aged, 80 and over , Shoulder Joint , Joint Diseases/diagnosis , Lipoma/diagnosis , Magnetic Resonance ImagingABSTRACT
Una pseudocola se define como una lesión con forma de cola en la región lumbosacrococcigea que no es una cola real, sino que, por el contrario, es causada por alguna enfermedad subyacente. El lipoma perineal es una de las condiciones que puede presentarse como una pseudocola. El lipoma perineal congénito es una enfermedad rara, pero un lipoma perineal congénito sin otras anomalías es, en particular, extremadamente raro. Reportamos un caso de un lipoma perineal congénito aislado, sin malformaciones asociadas, que se presenta como una pseudocola y además incluimos una revisión bibliográfica de la condición.
A pseudotail is defined as a tail-like lesion in the lumbosacrococcygeal region that is not a real tail, but on the contrary, is caused by an underlying disease. Lipoma is one of the conditions that may present as a pseudo-tail. Congenital lipoma is a rare disease and in particular, isolated congenital perineal lipoma without other anomalies is extremely rare. Herein we report a case of congenital isolated perineal lipoma presenting as a pseudo-tail and also include a literature review of the condition.