颈部脂肪瘤

Lipoma of the Neck.

作者信息

Temelkova Ivanka, Wollina Uwe, Di Nardo Veronica, Tchernev Georgi

机构信息

Medical Institute of the Ministry of Interior, Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.

Städtisches Klinikum Dresden, Department of Dermatology and Allergology, Academic Friedrichstrasse 41, Dresden, Germany.

出版信息

Open Access Maced J Med Sci. 2018 Oct 23;6(10):1875-1877. doi: 10.3889/oamjms.2018.430. eCollection 2018 Oct 25.

DOI:10.3889/oamjms.2018.430

PMID:30455766

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6236035/

Abstract

BACKGROUND

Lipomas are benign formations with the mesenchymal origin, which are found in the head and neck region in a very small percentage of cases. In these cases, they usually occur in the posterior neck and usually grow very slowly without causing complaints. However, when they cover the front of the neck, it is necessary to confirm the adipose origin of a tumour and to exclude the connection with the thyroid gland. Although in principle, lipomas are benign, there are three more unfavourable possibilities of 1) malignancy of lipomas, 2) the occurrence of de novo liposarcomas or 3) the association of lipomas with other tumours, such as retinoblastoma.

CASE REPORT

We present a 74-year-old woman with a painless subcutaneous formation in the neck. A Fine Needle Aspiration Biopsy (FNA) was performed, with the conclusion of the cytological result for lipoma. Surgical removal was planned under general anaesthesia.

CONCLUSION

Usually, lipomas do not require surgery, but when they engage muscles they become indicative of surgical treatment.

摘要

背景

脂肪瘤是起源于间叶组织的良性肿物，在头颈部区域发现的病例占比非常小。在这些病例中，它们通常发生于颈后部，且通常生长非常缓慢，不会引起不适。然而，当它们覆盖颈部前方时，有必要确认肿瘤的脂肪来源并排除与甲状腺的关联。虽然原则上脂肪瘤是良性的，但存在另外三种不利情况：1）脂肪瘤恶变；2）新发脂肪肉瘤；3）脂肪瘤与其他肿瘤相关联，如视网膜母细胞瘤。