Pardhe Nilesh, Singh Neeraj, Bharadwaj Gaurav, Nayak Prathibha Anand
Department of Oral and Maxillofacial Pathology, Mahatma Gandhi Dental College & Hospital, Jaipur, Rajasthan, India.
BMJ Case Rep. 2013 Aug 13;2013:bcr2013010438. doi: 10.1136/bcr-2013-010438.
Spindle cell lipomas (SCLs) are a group of benign lipogenic tumours, typically arising in the posterior neck, upper back and shoulder of elderly male patients. Approximately 80% of these tumours arise in characteristic location, but 20% arise in unusual locations, thereby making these cases more difficult to diagnose. We present a case of SCL occurring in the right periorbital region of a 14-year-old boy. The MRI was suggestive of possible malignancy. Diagnosis of neurofibroma was made on incisional biopsy. However, the histopathological and immunohistochemical analyses of the excised lesion confirmed the diagnosis of SCL.
梭形细胞脂肪瘤（SCL）是一组良性脂肪生成性肿瘤，通常发生于老年男性患者的后颈部、上背部和肩部。这些肿瘤约80%发生于特征性部位，但20%发生于非特征性部位，从而使这些病例的诊断更加困难。我们报告一例发生于一名14岁男孩右眶周区域的梭形细胞脂肪瘤。磁共振成像（MRI）提示可能为恶性。切开活检诊断为神经纤维瘤。然而，对切除病变的组织病理学和免疫组织化学分析证实为梭形细胞脂肪瘤。
