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[6个月大婴儿的巨大颈侧脂肪瘤:病例报告]

[Giant laterocervical lipoma in a 6-month-old infant: a case report].

作者信息

Niang Cheikh Diene, Sarr Mame Coumba, Ba Moussa, Toko Brice, Barry Mouhamed, Fall Faty, Niang Fallou, Thiam Ibou, Diouf Mame Sanou

机构信息

Service d'Oto-rhino-laryngologie, Centre Hospitalier National Cheikh Ahmadoul Khadim de Touba, Touba, Sénégal.

Service d'Oto-rhino-laryngologie, Centre Hospitalier Matlaboul Fawzeyni de Touba, Touba, Sénégal.

出版信息

Pan Afr Med J. 2025 Jun 4;51:31. doi: 10.11604/pamj.2025.51.31.47251. eCollection 2025.

Abstract

Lipomas are mesenchymal neoplasms that affect the head and neck region in about 13% of cases. However, they are rarely reported in the pediatric population. We here report the case of a 6-month-old infant with no notable medical history, admitted for the management of a large left lateral cervical mass that had been progressing for 4 months. Ear, nose and throat (ENT) examination revealed a large left lateral cervical mass extending to the submental area, approximately 7cm in length, with no signs of compression. Cervical CT scan showed a fat-density mass, consistent with a lipoma. The patient underwent exploratory cervicotomy with excision of the mass. Histological analysis confirmed the diagnosis of lipoma. The clinical outcome was favorable, with no recurrence after 15 months of follow-up. Although rare in the pediatric population, cervical lipomas should be considered in infants with a cervical swelling. Its clinical manifestation is similar to that of a cystic lymphangioma.

摘要

脂肪瘤是一种间叶组织肿瘤,约13%的病例发生于头颈部区域。然而,儿科患者中脂肪瘤的报道很少。我们在此报告一例6个月大的婴儿,该婴儿无明显病史,因左侧颈部巨大肿块进行性增大4个月入院治疗。耳鼻喉科(ENT)检查发现左侧颈部有一个巨大肿块,延伸至颏下区域,长约7厘米,无压迫迹象。颈部CT扫描显示一个脂肪密度肿块,符合脂肪瘤表现。患者接受了探查性颈切开术并切除肿块。组织学分析确诊为脂肪瘤。临床结果良好,随访15个月无复发。尽管在儿科患者中罕见,但对于颈部肿胀的婴儿应考虑颈部脂肪瘤。其临床表现与囊性淋巴管瘤相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2262/12329451/0a24cbd280b1/PAMJ-51-31-g001.jpg

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