Nagpal Ashna, Gharde Pankaj, Navandhar Pratik S, Singh Chahat, Sapkale Bhagyesh
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 May 28;16(5):e61278. doi: 10.7759/cureus.61278. eCollection 2024 May.
This case report presents a 64-year-old male with a giant intramuscular lipoma on the right lumbar region's latissimus dorsi muscle. The patient presented with painless swelling, which gradually increased over six years. Magnetic resonance imaging (MRI) confirmed the presence of the lipoma, prompting surgical intervention. The surgical procedure involved meticulous dissection and complete excision of the tumor. Histopathological examination validated the diagnosis. Comparative analyses with similar cases highlighted variations in surgical approaches and the challenges in managing intramuscular lipomas. This case emphasizes the importance of considering intramuscular lipomas in soft tissue mass differentials and the significance of comprehensive management strategies for optimal patient outcomes.
本病例报告介绍了一名64岁男性,其右侧腰部背阔肌出现巨大肌内脂肪瘤。患者表现为无痛性肿胀,六年内逐渐增大。磁共振成像(MRI)证实了脂肪瘤的存在,促使进行手术干预。手术过程包括细致的解剖和肿瘤的完整切除。组织病理学检查证实了诊断。与类似病例的对比分析突出了手术方法的差异以及肌内脂肪瘤管理中的挑战。本病例强调了在软组织肿块鉴别诊断中考虑肌内脂肪瘤的重要性以及综合管理策略对实现最佳患者预后的意义。