medigraphic.com
ISSN 1561-2945 (Print)

2022, Number 3

<< Back Next >>

Revista Cubana de Cirugía 2022; 61 (3)

Surgical treatment of giant fibrolipoma of the back

Tamayo CAM, Martínez GA, Cuastumal FDK

Language: Spanish
References: 16
Page: 1-11
PDF size: 422.53 Kb.


ABSTRACT

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.


REFERENCES

  1. Ralli M, de Vincentiis M, Greco A. First, Rule Out Cancer: Giant Lipoma. The American journal of medicine. 2018;131(2):146-7. DOI: https://doi.org/10.1016/j.amjmed.2017.09.0131.

  2. Agarwal A, Dhameja N, Ghosh Kar A. Giant congenital melanocytic nevus associated with lipoma in an Indian man. BMJ case reports. 2019;12(7). DOI: 10.1136/bcr-2018-228688.

  3. Mascarenhas MRM, Mutti LA, Paiva JMG, Enokihara M, Rosa IP, Enokihara MY, et al. Giant atypical lipoma. Anais brasileiros de dermatología. 2017;92(4):546-9.

  4. Toft F. Surgical resection of a giant intramuscular lipoma of the biceps brachii: a case report and review of the literature. Archives of orthopaedic and trauma surgery. 2022;142(3):373-9. DOI: 10.1007/s00402-020-03614-0.

  5. Medell-Gago M, Guerra-Guerra T, Gonzalez-Pérez O, Concepción-Quiñones L. Nevus lipomatosus cutaneous superficialis. Report of four cases including an unusual presentation associated with massive lipomas and diffuse lipomatosis. Rev. Española de patología: publicación oficial de la Sociedad Española de Anatomía Patológica y de la Sociedad Española de Citología. 2018;51(1):37-43. DOI: 10.1016/j.patol.2017.03.001.

  6. Woo SJ, Hong KY, Chang H. Giant Ventral Lipoma of the Neck. The Journal of craniofacial surgery. 2020;31(5):e501-e3. DOI: 10.1097/SCS.0000000000006572

  7. Abellan I, Molina M, Bernabé A, Gonzáles P. Fibrolipoma gingante recidivado: una enfermedad de difícil manejo. Cir Esp. 2019;97(9):545-7. DOI: 10.1016/j.ciresp.2018.12.012.

  8. Chen SL, Hu CY, Chan KC. Multiple Symmetric Lipomatosis in a Chronic Male Alcoholic. Ear, nose, & throat journal. 2019;98(2):79-80. DOI: https://doi.org/10.1177/01455613188250658.

  9. Carriedo Rico EG, García Morato P. Lipoma gigante de muslo: Reporte de un caso. Acta ortopédica Mexicana. 2017 [acceso 21/01/2021];31(5):248-51. Disponible en: https://www.medigraphic.com/pdfs/ortope/or-2017/or175h.pdf9.

  10. Li S, Haag T, McWhorter J, Ge L, Carlan SJ. Unilateral Giant Vulvar Lipoma with Fat Necrosis Not Visualized on Magnetic Resonance Imaging (MRI). The American journal of case reports. 2019;20:1760-4. DOI: 10.12659/AJCR.918976.

  11. Carriedo-Rico EG, García-Morato-Jorreto P. Giant lipoma of the thigh. Case report. Acta ortopédica mexicana. 2017 [acceso 21/01/2021];31(5):248-51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29518300/11.

  12. Kim KS, Lee H, Lim DS, Hwang JH, Lee SY. Giant lipoma in the hand: A case report. Medicine. 2019;98(52):e18434. DOI: 10.1097/MD.000000000001843412.

  13. Jain G, Tyagi I, Pant L, Nargotra N. Giant Anterior Neck Lipoma with Bleeding Pressure Ulcer in an Elderly Man: A Rare Entity. World journal of plastic surgery. 2017 [acceso 25/02/2021];6(3):365-8. Disponible en: http://wjps.ir/article-1-315-en.html13.

  14. Benito Duque P, De Juan Huelves A, Cano Rosas M, Elena Sorando E. Colgajo bilateral de perforantes lumbares para la reconstrucción de un severo defecto toracolumbar. Cir Plas Iberolatinoam. 2006;32(2):141-4.

  15. Hernández Frómeta R, Henry Alonso Y, Espichicoque Megret A. Lipoma gigante. Presentación de un caso en Haiti. Revista de información científica. 2014;87(5):923-30.

  16. Clesham K, Galbraith JG, Ramasamy A, Karkuri A. Giant lipoma of the hand causing median nerve compression. BMJ. 2017. DOI: 10.1136/bcr-2017-220056




2020     |     www.medigraphic.com