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3.
BMJ Case Rep ; 14(10)2021 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-34645628

RESUMO

Lipoma is a common benign mesenchymal tumour. However, angiomyxolipoma (AML) is one of its rarer variants. It was first described by Mai et al in 1996 in the lipomatous lesions having mature adipocytes in a myxoid background with rich vascular network. We present the case of a 21 year-old man with recurrent forehead swelling diagnosed as AML on microscopy. It is important to document this rare variant to add to the limited literature and to aid in differentiating it from its malignant counterpart. Moreover, as our case presented with recurrence within a short period of time, a precise diagnosis and documentation of recurrence is essential as it is reportedly the first case with recurrence among the 21 cases of AMLs previously published.


Assuntos
Testa , Lipoma , Adulto , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Masculino , Recidiva Local de Neoplasia , Adulto Jovem
4.
Acta Orthop Belg ; 87(2): 243-246, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34529376

RESUMO

The objective of the study is aimed to evaluate results of our pediatric patients with big and deep-seated lipomatous tumors Results of 32 children who underwent resection for 5 cm or larger and deep-seated lipomas were evaluated. The mean age of the patients was 9.1 years (range, 0-16 ; 11 female/21 male), and median follow-up period was 3.21 years (range, 1-10 years). The median size of the excised tumour was 11 cm (range, 6-28 cm) in maximal dimension. Big lipomas in children can be treated with marginal resection procedures without biopsy with lower complication and local recurrence ratio compared to adult patients with similar tumours in similar size and location.


Assuntos
Lipoma , Lipossarcoma , Neoplasias de Tecidos Moles , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Lipoma/cirurgia , Masculino , Recidiva Local de Neoplasia , Estudos Retrospectivos , Neoplasias de Tecidos Moles/cirurgia
5.
Biomed Res Int ; 2021: 4331250, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34485512

RESUMO

Excision is the gold standard for lipomas. Patients desire minimal scars, but minimal incisions can increase complications and produce hypertrophic scars. We propose an algorithmic method named the minimal one-third incision and four-step extraction method (MOTIF) for lipoma excision. This retrospective study analyzed lipomas surgically excised using the MOTIF method at our institution between January 2016 and December 2018. A total of 112 lipomas were included. The complication rates and Vancouver Scar Scale (VSS) for three different size groups (<3 cm, 3 ~ 6 cm, >6 cm) were compared. Complete excision of all palpable lipomas was achieved with this approach. There were two seromas, two hematomas, and one postoperative nerve injury. There was no difference in complication rates and VSS between the three size groups. The MOTIF method is a cost-effective, reliable, and cosmetically pleasing method that can be applied to all lipomas regardless of size and location.


Assuntos
Cicatriz Hipertrófica/patologia , Lipoma/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Complicações Pós-Operatórias/patologia , Neoplasias Cutâneas/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cicatriz Hipertrófica/etiologia , Feminino , Humanos , Lipoma/patologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Neoplasias Cutâneas/patologia , Resultado do Tratamento , Adulto Jovem
6.
Pan Afr Med J ; 39: 100, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34466202

RESUMO

Lipoma is the most common of soft tissue tumours. It rarely occurs in the head and neck. Patients with fast-growing large sized lesion (> 10cm) should be suspected to have a cancer. We here report the case of a patient presenting with unusual cervical lipoma (size: approximately 46cm), diagnosed based on imaging tests, including computed tomography (CT) scan. Patient´s management was based on surgery.


Assuntos
Neoplasias de Cabeça e Pescoço/diagnóstico por imagem , Lipoma/diagnóstico por imagem , Pescoço/diagnóstico por imagem , Idoso , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Lipoma/cirurgia , Masculino , Tomografia Computadorizada por Raios X
8.
J Cardiothorac Surg ; 16(1): 222, 2021 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-34348738

RESUMO

BACKGROUND: Cardiac Hibernomas are very rare benign tumors and usually remain asymptomatic. Neonatal cardiogenic shock due to cardiac tumors is extremely very rare. Until this date a few cases of cardiac hibernoma have been reported in the literature. Transthoracic echocardiography help in the differential diagnosis, but the definitive diagnosis is histological. The management strategy is not clearly codified. The Aim is to report and discuss the clinical features of a cardiac Hibernoma and review the relevant literature. CASE PRESENTATION: We describe a case of a 2-day-old Caucasian full-term male neonate admitted in neonate intensive care with cardiogenic shock, having fluid resuscitation and inotropic drugs. Ventilatory support was started immediately with the subsequent reestablishment of normal blood pressure. Then he was transferred to the echocardiography laboratory. Transthoracic echocardiography showed two echogenic masses in the right atrium and right ventricle. The masses were extended to the pulmonary trunk. Pulmonary artery flow measurements showed the presence of pulmonary and tricuspid obstruction. Surgery was rapidly considered since the baby was hemodynamically unstable. Intraoperative evaluation showed a mass embedded in the interventricular septum that occupy the right ventricular cavity and the right atrium. The tumor involved also the chordae of the tricuspid. Partial resection was done. Tricuspid valve repair was performed by construction of new chordae from the autologous pericardium. The specimen was sent for histopathological analysis. The baby died immediately after surgery. Histological examination of the surgical specimen revealed clear multivacuolated cells filled with lipid droplets and granular intense eosinophilic cytoplasm which confirms the diagnosis of Hibernoma. CONCLUSION: Cardiac Hibernomas are rare benign tumors. The prognosis and treatment strategy is closely dependent on the location, initial clinical presentation and possible complications. The prognosis can be unfavorable if the tumor was obstructive and infiltrate the myocardium.


Assuntos
Neoplasias Cardíacas , Lipoma , Choque Cardiogênico , Feminino , Átrios do Coração , Neoplasias Cardíacas/complicações , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/cirurgia , Humanos , Recém-Nascido , Lipoma/complicações , Lipoma/cirurgia , Masculino , Gravidez , Choque Cardiogênico/diagnóstico , Choque Cardiogênico/etiologia , Valva Tricúspide
9.
J Cardiothorac Surg ; 16(1): 218, 2021 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-34348760

RESUMO

BACKGROUND: Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. CASE PRESENTATION: We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. CONCLUSION: Total endoscopic removal of left ventricle lipoma's can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.


Assuntos
Neoplasias Cardíacas , Lipoma , Adulto , Feminino , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/cirurgia , Humanos , Hibridização in Situ Fluorescente , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Valva Mitral
11.
J Cardiothorac Surg ; 16(1): 197, 2021 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-34247638

RESUMO

BACKGROUND: Several cases of lipoma in unusual locations in the thorax have been reported. Appropriate surgical treatment depending on the location and shape is often required. CASE PRESENTATION: We herein report an extremely rare case of a chest wall lipoma growing into the pleural cavity. The tumor was successfully removed without damaging the capsule by a combination of direct and thoracoscopic approaches. CONCLUSIONS: Chest wall lipomas growing into pleural cavity can be successfully treated by a combination of direct and thoracoscopic approaches.


Assuntos
Lipoma/cirurgia , Cavidade Pleural/cirurgia , Neoplasias Torácicas/cirurgia , Parede Torácica/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Cavidade Pleural/patologia , Parede Torácica/patologia , Toracoscopia
13.
Acta Orthop Belg ; 87(1): 197-200, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34129775

RESUMO

The objective of the study is aimed to evaluate results of our pediatric patients with big and deep-seated lipomatous tumors Results of 32 children who underwent resection for 5 cm or larger and deep-seated lipomas were evaluated. The mean age of the patients was 9.1 years (range, 0-16 ; 11 female/21 male), and median follow-up period was 3.21 years (range, 1-10 years). The median size of the excised tumour was 11 cm (range, 6-28 cm) in maximal dimension. Big lipomas in children can be treated with marginal resection procedures without biopsy with lower complication and local recurrence ratio compared to adult patients with similar tumours in similar size and location.


Assuntos
Lipoma , Lipossarcoma , Neoplasias de Tecidos Moles , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Lipoma/cirurgia , Masculino , Recidiva Local de Neoplasia , Estudos Retrospectivos , Neoplasias de Tecidos Moles/cirurgia
14.
Ann R Coll Surg Engl ; 103(7): e212-e215, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34192501

RESUMO

We present a case of a man with a background of myasthenia gravis who presented with a neck lump, which was diagnosed as thyrolipomatosis in continuity with a very large thymolipoma. Following removal of these lesions, the patient's myaesthenic symptoms improved. While thymolipomas are often seen in the context of myasthenia gravis, thyrolipomatosis is a rare entity and to our knowledge the concurrent finding of both lesions with myasthenia gravis has never been reported. We highlight the important imaging features of both entities and the clinical importance of recognising them.


Assuntos
Lipoma/cirurgia , Lipomatose/cirurgia , Miastenia Gravis/terapia , Neoplasias do Timo/cirurgia , Doenças da Glândula Tireoide/cirurgia , Adulto , Humanos , Lipoma/diagnóstico , Lipoma/patologia , Lipomatose/diagnóstico , Lipomatose/patologia , Masculino , Miastenia Gravis/etiologia , Prednisolona/uso terapêutico , Brometo de Piridostigmina/uso terapêutico , Timectomia , Timo/diagnóstico por imagem , Timo/patologia , Timo/cirurgia , Neoplasias do Timo/diagnóstico , Neoplasias do Timo/patologia , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/patologia , Glândula Tireoide/diagnóstico por imagem , Glândula Tireoide/patologia , Glândula Tireoide/cirurgia , Tireoidectomia , Tomografia Computadorizada por Raios X , Resultado do Tratamento
15.
J Ayub Med Coll Abbottabad ; 33(2): 339-340, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34137557

RESUMO

Intraperitoneal Lipomas presenting as huge abdominal mass are uncommon in paediatric age group. We report case of an 11 months old male child, who presented with abdominal distension and constipation. Initial investigations including CT scan and Trucut biopsy of lesion failed to delineate nature of tumour. However, upon surgical excision it turned out to be a rare tumour of mesenteric origin.


Assuntos
Lipoma/diagnóstico , Mesentério/patologia , Abdome/patologia , Biópsia , Constipação Intestinal/complicações , Humanos , Lactente , Lipoma/complicações , Lipoma/patologia , Lipoma/cirurgia , Masculino
16.
J Am Podiatr Med Assoc ; 111(3)2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-34144584

RESUMO

Intramuscular lipoma is a rare subset of a more common soft-tissue tumor, lipoma. The etiology is unknown. It is a rare soft-tissue tumor with an overall incidence of less than 1% of all lipomas. Magnetic resonance imaging tends to be the imaging modality of choice, used for surgical preparation. Widely accepted treatment involves local excision. The author presents a case study involving a patient with an abnormally large, recurrent intramuscular lipoma of the left hallux, surgically excised and confirmed by pathology reports. iscussion includes a review of intramuscular lipoma. A review of the literature revealed only two previous reports.


Assuntos
Lipoma , Neoplasias de Tecidos Moles , , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Imageamento por Ressonância Magnética , Neoplasias de Tecidos Moles/diagnóstico , Neoplasias de Tecidos Moles/cirurgia
17.
BMJ Case Rep ; 14(6)2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34083185

RESUMO

Pleural lipomas are rarely encountered in the thoracic cavity. Sometimes, they infiltrate the intercostal space to have a component on either side of the intercostal space forming a hourglass configuration. They are generally solitary, small and asymptomatic. We present the case of a 49-year-old man with two giant pleural lipomas, both originating from the right parietal pleura, and one of which was passing through the intercostal space giving rise to a hourglass-shaped configuration. When they occur, although benign, considering the evolutionary potential, excision is recommended.


Assuntos
Lipoma , Neoplasias Pleurais , Parede Torácica , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Masculino , Pessoa de Meia-Idade , Pleura , Neoplasias Pleurais/diagnóstico por imagem , Neoplasias Pleurais/cirurgia
18.
J Card Surg ; 36(9): 3390-3392, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34157154

RESUMO

A 44-year-old male patient was referred to our department with unremarkable physical examination and laboratory data due to a mass which was incidentally found in the right atrial during a routine examination. Transthoracic and transesophageal echocardiography revealed a 46 × 30 mm, well-delimited, nonmobile mass in the superior portion of the right atrium. Besides the intracardiac mass, another low density was detected in adjacent pericardial cavity at cardiac computed tomography; he extracardiac mass appeared to be caused by invasive growth from the intracardiac mass. An operation was performed through right anterolateral minithoracotomy with the patient under hypothermic cardiopulmonary bypass. During operation, it was found that the surface of the right atrium was covered by an adipose mass (30 × 40 mm; Figure 2A). Intracardiac mass also showed yellow adipose tissue (40 × 50 mm; Figure 2B). Both parts of the mass infiltrated the myocardium. The mass was resected completely; and right atrium was reconstructed by using bovine pericardium pad. After the operation, the pathology confirmed the both intracardiac and extracardiac tissues as lipoma; transthoracic echocardiogram showed the atrial mass was removed completely and the left ventricular ejection fraction was normal. The patient's postoperative course was uneventful and he was discharged home after 7 days.


Assuntos
Neoplasias Cardíacas , Lipoma , Adulto , Animais , Bovinos , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/cirurgia , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Masculino , Volume Sistólico , Função Ventricular Esquerda
19.
Hernia ; 25(5): 1331-1337, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33993347

RESUMO

PURPOSE: Cord lipomas can clinically resemble groin hernias and missed cord lipomas can potentially result in persistent symptoms. However, no international guideline exists concerning the management of cord lipomas found during inguinal hernia surgery. This study aimed to gain insight into how surgeons typically manage cord lipomas found during inguinal hernia surgery. METHODS: A questionnaire was sent to all general surgeons in Denmark performing unsupervised laparoscopic inguinal hernia repair and Lichtenstein repair. The survey contained questions about demographic details and questions about how surgeons would handle cord lipomas. The questionnaire was created by the research team and face-validated on general surgeons. RESULTS: A total of 58 surgeons (60%) responded to the questionnaire. The majority agreed that cord lipomas should not be left untouched. During laparoscopic repairs, 53% of the surgeons recommended that cord lipomas should be resected and removed if the anatomical circumstances allowed it. During Lichtenstein repair, the surgeons recommended that cord lipomas should always be resected and removed (49%) or that resection should depend on the size of the lipoma (44%). CONCLUSION: When asking surgeons about their preferred handling of cord lipomas, they answered that the management of cord lipomas found during inguinal hernia surgery depends on anatomical circumstances such as the pedicle appearance, the lipoma mobility, and its size. If the cord lipoma is left untouched, the patients' hernia resembling symptoms could persist, why the surgeons predominantly preferred to resect and remove cord lipomas.


Assuntos
Hérnia Inguinal , Laparoscopia , Lipoma , Cordão Espermático , Hérnia Inguinal/cirurgia , Herniorrafia , Humanos , Lipoma/cirurgia , Masculino , Cordão Espermático/cirurgia , Inquéritos e Questionários
20.
Acta Biomed ; 92(S1): e2021084, 2021 04 30.
Artigo em Inglês | MEDLINE | ID: mdl-33944855

RESUMO

An intraosseous lipoma is considered one of the rarest primary bone tumors. The etiology of this lesion remains unclear; many lesions are asymptomatic and appear only as incidental findings during routine radiographic evaluations. Magnetic resonance imaging of intraosseous lipomas can help to establish a diagnosis and to stage the neoplasm. This is a case report of a 53-year old man with a rare intraosseous lipoma of the patella.


Assuntos
Neoplasias Ósseas , Lipoma , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/cirurgia , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Patela/diagnóstico por imagem
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