Tabaković Saša Z, Tabaković Zoran S
Department of Maxillofacial Surgery, Medical Faculty Priština in Kosovska Mitrovica, Kosovska Mitrovica.
Dedinje cardiovascular Institute, Cardiac surgery, Belgrade, Serbia.
J Craniofac Surg. 2023;34(5):e447-e449. doi: 10.1097/SCS.0000000000009280. Epub 2023 Mar 13.
Giant lipoma is characterized by asymptomatic growth and compared with other parts of the body rarely occurs on the neck. If the tumor is localized in the lateral segment of the neck, it can show symptoms in the form of dysphagia and dyspnea. Preoperatively, it is important to perform computed tomography (CT) diagnostic to determine the size of the lesion and makes the plan for operative treatment. The paper presents the case of a 66-year-old patient with a tumor in the neck area as well as swallowing disorders and suffocation during sleep. Palpation revealed a tumor of soft consistency, and based on a CT scan of the neck, the differential diagnosis confirmed giant lipoma. Clinical picture and CT findings of giant neck lipoma are clear in most cases. Due to the atypical localization and size, the tumor should be removed to prevent possible functional disturbances. The treatment is operative, and a histopathological examination should exclude malignancy.
巨大脂肪瘤的特点是无症状生长，与身体其他部位相比，很少发生在颈部。如果肿瘤位于颈部外侧段，可能会出现吞咽困难和呼吸困难等症状。术前，进行计算机断层扫描（CT）诊断以确定病变大小并制定手术治疗方案很重要。本文介绍了一例66岁患者，其颈部有肿瘤，并伴有吞咽障碍和睡眠窒息。触诊发现肿瘤质地柔软，根据颈部CT扫描结果，鉴别诊断确诊为巨大脂肪瘤。大多数情况下，颈部巨大脂肪瘤的临床表现和CT表现都很明确。由于肿瘤定位不典型且体积较大，应将其切除以防止可能出现的功能障碍。治疗方式为手术，组织病理学检查应排除恶性肿瘤。
