Sardo Angela M, Wieck Minna M
General Surgery, UC Davis Medical Center, Sacramento, California, USA.
Pediatric Surgery, University of California Davis, Sacramento, California, USA
BMJ Case Rep. 2024 Dec 11;17(12):e263438. doi: 10.1136/bcr-2024-263438.
Lipomas are the most common soft tissue tumours in adults, but they represent less than 10% of paediatric mesenchymal tumours. In adults, they are typically slow growing and painless. We describe an adolescent with a rapidly enlarging neck mass causing dyspnoea and chest pain. Physical examination revealed a soft mobile mass extending from the angle of the mandible to the clavicle, with imaging demonstrating a 3×6×15 cm lipoma extending to the superior mediastinum with mass effect on key neck and mediastinal structures. It was surgically resected without complications and all presenting symptoms resolved. Along with the two other reported cases of giant lipomas of the neck in children, this presentation illustrates the rapid growth and symptomatic nature of giant lipomas in children. Surgical excision is the recommended treatment.
脂肪瘤是成人最常见的软组织肿瘤，但在儿童间叶组织肿瘤中所占比例不到10%。在成人中，它们通常生长缓慢且无痛。我们描述了一名青少年，其颈部肿块迅速增大，导致呼吸困难和胸痛。体格检查发现一个柔软可移动的肿块，从下颌角延伸至锁骨，影像学检查显示一个3×6×15厘米的脂肪瘤延伸至上纵隔，对关键的颈部和纵隔结构产生占位效应。该脂肪瘤经手术切除，无并发症，所有症状均得到缓解。连同另外两例儿童颈部巨大脂肪瘤的报道病例，本病例说明了儿童巨大脂肪瘤的快速生长和有症状的特点。手术切除是推荐的治疗方法。
