Woo Soo Jin, Hong Ki Yong, Chang Hak
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul.
Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Goyang, Republic of Korea.
J Craniofac Surg. 2020 Jul-Aug;31(5):e501-e503. doi: 10.1097/SCS.0000000000006572.
Giant lipomas are rarely found in the head and neck region. A 67-year-old male patient presented with a massive ventral swelling of his neck extending from the lower margin of the mandible to the clavicle. The mass had slowly grown over 20 years without causing any symptoms, except for considerable psychological stress because of the disfiguration of the patient's profile appearance. Contrast magnetic resonance imaging suggested a lipomatous soft tissue lesion. The surgically removed tumor measured 32 × 20 × 4 cm. Surgery was completed without any intraoperative complications or injury to the critical structures of the neck. The patient was satisfied with the cosmetic result of the operation, and histopathological examination confirmed a lipoma.
巨大脂肪瘤在头颈部区域很少见。一名67岁男性患者颈部腹侧出现巨大肿胀，范围从下颌下缘延伸至锁骨。该肿块在20多年间缓慢生长，未引起任何症状，只是由于患者侧面外观变形而造成了相当大的心理压力。对比磁共振成像显示为脂肪瘤性软组织病变。手术切除的肿瘤大小为32×20×4厘米。手术顺利完成，术中无任何并发症，也未损伤颈部关键结构。患者对手术的美容效果满意，组织病理学检查证实为脂肪瘤。
