Zvizdic Zlatan, Milisic Emir, Bilalovic Nurija, Ibisevic Nermina, Bukvic Melika, Vranic Semir
Department of Pediatric Surgery, Clinical Center University of Sarajevo, Sarajevo 71000, Bosnia and Herzegovina.
Department of Pathology, Clinical Center University of Sarajevo, Sarajevo 71000, Bosnia and Herzegovina.
J Surg Case Rep. 2024 Jan 10;2024(1):rjad728. doi: 10.1093/jscr/rjad728. eCollection 2024 Jan.
Lipofibromatosis (LF) is a rare benign fibrofatty tumor of infancy and childhood with a predilection for distal extremities, poor margination, and a high local recurrence rate. We report a toddler who presented with an LF involving her right labiocrural fold. Imaging showed a soft tissue mass extending through the right labiocrural fold with possible infiltration into the underlying muscles. The mass was excised entirely, preserving adjacent structures. The histopathologic report revealed the mass to be LF. A 3-year follow-up revealed no disease recurrence. No other cases of LF in this localization have been presented in the literature. Despite its rarity, LF should be considered in diagnosing soft tissue neoplasms in children. Accurate diagnosis and proper surgical management with complete resection are essential to reduce the postoperative recurrence risk.
脂肪纤维瘤病(LF)是一种罕见的婴幼儿及儿童期良性纤维脂肪性肿瘤,好发于四肢远端,边界不清,局部复发率高。我们报告一例幼儿,其右侧腹股沟皱襞处患有脂肪纤维瘤病。影像学检查显示一个软组织肿块延伸至右侧腹股沟皱襞,可能已浸润至下方肌肉。肿块被完整切除,保留了相邻结构。组织病理学报告显示该肿块为脂肪纤维瘤病。3年随访显示无疾病复发。文献中尚未报道过该部位的其他脂肪纤维瘤病病例。尽管罕见,但在诊断儿童软组织肿瘤时应考虑脂肪纤维瘤病。准确诊断并进行完整切除的恰当手术管理对于降低术后复发风险至关重要。