Hussain Jumana, AlZamel Hussein Ali, Nawaz Imtiyaz, Al Bader Abdulmohsen
ENT Department, Al- Farwaniya Institute, Kuwait.
ENT Department, Al- Farwaniya Institute, Kuwait.
Int J Surg Case Rep. 2018;48:139-141. doi: 10.1016/j.ijscr.2018.05.009. Epub 2018 Jun 7.
A fibrolipoma of the left subclavicular region, a neoplasm rarely encountered in this region, was compromising the branchial plexus and thoracic duct, causing thoracic outlet syndrome in a symptomatic patient.
A 41-year-old Asian woman was brought to our ENT (ear-nose-throat) clinic because of slowly progressive swelling of the left subclavicular region since 10 years before, which became painful with time, associated with increasing subpectoral and shoulder pains, left arm swelling, and left forearm paresthesias.
The exact etiology of fibrolipomas remains disputed, and endocrine, dysmetabolic, genetic, and traumatic factors have been often considered. A fibrolipoma characteristically grows by simple expansion in a well-encapsulated fashion without the tissue infiltration that is more characteristic of liposarcomas.
The purpose of this case report is to highlight an unusually large tumor of this type in a dangerous area that caused thoracic outlet syndrome-like symptoms.
左锁骨下区域的纤维脂肪瘤是该区域罕见的肿瘤，它压迫臂丛神经和胸导管，导致一名有症状的患者出现胸廓出口综合征。
一名41岁的亚洲女性因自10年前起左锁骨下区域缓慢进行性肿胀前来我们的耳鼻喉科诊所就诊，随着时间推移肿胀部位变得疼痛，伴有胸肌下和肩部疼痛加剧、左臂肿胀以及左前臂感觉异常。
纤维脂肪瘤的确切病因仍存在争议，内分泌、代谢紊乱、遗传和创伤因素常被考虑在内。纤维脂肪瘤的特征是通过简单扩张以包膜完整的方式生长，不像脂肪肉瘤那样具有组织浸润性。
本病例报告的目的是强调在一个危险区域出现的这种异常大的肿瘤，它引起了类似胸廓出口综合征的症状。
