• Users Online: 392
  • Print this page
  • Email this page


 
 Table of Contents  
CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 44-45

Huge Lipoblastoma in Neck


1 Department of Paediatrics Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India
2 Department of Pathology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India
3 Department of Anaesthesiology & Critical Care, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India

Date of Web Publication12-Feb-2016

Correspondence Address:
Vinit Kr Thakur
Associate Professor, Dept. of Paediatrics surgery, IGIMS, Patna-14
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions
  Abstract 


Lipoblastoma is not a rare entity in children. The more common sites are extremities and trunk. We report here a rare case of huge Lipoblastoma in neck region with axillary extension.

Keywords: Lipoblastoma, Huge, Neck


How to cite this article:
Thakur VK, Singh A, Singh S, Yadav R, Hasan Z, Kumar V. Huge Lipoblastoma in Neck. J Indira Gandhi Inst Med Sci 2016;2:44-5

How to cite this URL:
Thakur VK, Singh A, Singh S, Yadav R, Hasan Z, Kumar V. Huge Lipoblastoma in Neck. J Indira Gandhi Inst Med Sci [serial online] 2016 [cited 2022 Oct 2];2:44-5. Available from: http://www.jigims.co.in/text.asp?2016/2/1/44/303373




  Introduction: Top


Lipoblastoma,a fat cells benign tumor is encountered exclusively in infancy and young children.

Irrespective of it’s size and site, because of it’s benign nature complete surgical resection is possible with few recurrences. It is typically located in the extremeties, and presence of lipoblastoma in head and neck region ,trunk and various organs are encountered less frequently.


  Case Report: Top


A 2yr old male child presented with a swelling in left side of neck. Three months back parents noticed a swelling that was small to start with, progressively increased in size over the period of time. There were no complains of pain,redness or discharge from the swelling. There was no other swelling elsewhere on the body. Family history was inconclusive.

Baby was active,healthy ,his milestones were developed as per age. On palpation there was a swelling of size 5x7cm in left supraclavicular region extending to left axillary region. Left clavicle could be well felt. Swelling was mobile and on compression it was more prominent in neck region.

Routine investigations were within normal limit and chest radiograph was normal. Ultrasound revealed a mass of lipomatous echotexture. Computed tomography suggested a soft tissue mass in neck ,which was extending to the axilla without involving neuro-vascular structures, mediastinal and intrathoracic extension were ruled out.
Figure 1

Click here to view


Mass was excised in toto from neck incision without any intra-operative or post-operative complication. The gross specimen measured 5x10cm and weighed around 200gm.lt was not encapsulated and appeared like bunch of grapes. Intraoperative specimen of Lipolastoma in neck.
Figure 2

Click here to view


Histopathological examination was suggestive of lobules of adipose tissue separated by fibrous septa. At places lipoblast were present. Background was myxoid ,nuclear atypia or giant cells were not noted.

The impression was suggestive of lipoblastoma. The patient recovered uneventfully and had no sign of recurrence 6months later.


  Disscussion: Top


The term “lipoblast” was coined by Jaffe in 1926.[1]. Lipoblastomas are usually well circumscribed. They can be diffuse, called lipoblastomatosis. They display identical histological features.2Adipose tissue tumors accounted for 6%of soft tissue tumor in paediatric population of which approximately 5-30% are lipoblastoma.[2],[7]Less than 200 cases of lipoblastomas at various locations have been reported in literature 3. Cervical lipoblastomas are rare and represent 10 - 15%of all lipoblastomas cases.[4] The present case is an unusual presentation of cervical lipoblastoma with axillary extension. Parents noticed mass in left lower neck. A review of 84 cases from the literature found that 61% of lipoblastoma occur in the extremities, followed by 15%on the trunk, 14%in the abdomen, and the head and neck region.[6],[2] Clinical examination and radiological evaluation gives idea about it’s pathology and surgical resection.[1],[4],[5] The only definitive procedure for diagnosing a soft tissue mass is a histological analysis.[6] The clinical course of lipoblastoma is benign, could grow locally to produce mass effect[7],[8]

Complete excision usually leads to an excellent prognosis6,[9]. In this case the swelling was huge and was present in neck with axillary extension, despite presence of major blood vessels and branchial plexus in vicinity it was completely excised without any complication. Local invasion and recurrences is not unheard of9. Though an aggressive surgery is not recommended ,the recurrence rate is between 0 and 25% if excision is incomplete[9]. So complete excision is must for cure of this disease.


  Conclusion: Top


lipoblastoma should be considered in a young child while evaluating soft tissue masses. Since it is a benign lesion complete resection is achievable irrespective of it’s size and site of occurrence.



 
  References Top

1.
Jaffe RH. Recurrent lipomatous tumor of groin; Lipmoma and liposarcoma. Arch pathology 1926;1:381-7  Back to cited text no. 1
    
2.
Prasad Muley, Rukmangad Mhapsekar,Varsha Shah and Dulari J. Gandhi.. Thoracic wall lipoblastoma;A rare case with rare presentation. Annal of paed surg2012;8:56-58.  Back to cited text no. 2
    
3.
Stefanos Gardikis,Katerina Kambouri,Aggelos Tsalkidis. Lipoblastoma on the post. side of neck. The Turkish journal of paediatrics2009;51:287-89.  Back to cited text no. 3
    
4.
Taiwan. Jung S,Chang P,Luo C. Lipoblastoma/lipolastomosis,a clinicopatho study of 16 cases. Paed surgery Int2005;21:809-12.  Back to cited text no. 4
    
5.
DD Rasalkar,Waucher. Lipoblastomatous tumor,a rare entity;report of two cases in Kong col. Radiology2010;13:209-12.  Back to cited text no. 5
    
6.
Claudi Spinelli,Sara costanzo, Elisa severi, Giulia Giannoti. A Thoracic wall lipoblastoma in a 3-month old infant; A case report and review of the literature.J.paed Haematol Oncol2006;28:594-600.  Back to cited text no. 6
    
7.
Chung EB, Enzinger FM. Benign lipoblastomosis; An analysis of 35cases. Cancer 1973;32:482-91.  Back to cited text no. 7
    
8.
Keo Taili,Cho-Ran Wang,Wan-Chaklo,Chuen Hsuch. Mediastinal lipoblastoma of infancy;A case report. Chin J.radiology2003;2:37- 401.  Back to cited text no. 8
    
9.
Qing Liu,Zheng Xu, Rongyo zeng. Perineal lipoblastoma; A case report and review of literature. Int j. Clin pathology 2014;7(6):3370- 74.  Back to cited text no. 9
    


    Figures

  [Figure 1], [Figure 2]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Introduction:
Case Report:
Disscussion:
Conclusion:
References
Article Figures

 Article Access Statistics
    Viewed668    
    Printed28    
    Emailed0    
    PDF Downloaded35    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]