Smith P D, Stadelmann W K, Wassermann R J, Kearney R E
Division of General Surgery, University of South Florida, Tampa, USA.
Ann Plast Surg. 1998 Dec;41(6):671-3. doi: 10.1097/00000637-199812000-00016.
Benign symmetric lipomatosis, also known as Madelung's disease, is a rare condition characterized by massive fatty deposits arranged symmetrically around the neck, shoulders, and arms. These patients might present for liposuction and body contouring. Although infrequently encountered in the average plastic surgeon's practice, this condition should be considered when evaluating candidates for these procedures. The deformity is associated with chronic alcohol use and also with malignant tumors of the upper airways. The deformity is prone to recurrence and its surgical treatment often results in less than optimal aesthetic outcomes. Despite this fact, surgical removal via either direct excision or suction-assisted lipectomy provides the only real hope of palliation. This report describes a patient with this deformity and a review of the literature.
良性对称性脂肪瘤病，又称马德隆氏病，是一种罕见病症，其特征为在颈部、肩部和手臂周围对称分布的大量脂肪沉积。这些患者可能会因抽脂和身体塑形前来就诊。虽然普通整形外科医生在临床实践中很少遇到这种情况，但在评估这些手术的候选人时应考虑到这种病症。这种畸形与长期饮酒有关，也与上呼吸道恶性肿瘤有关。这种畸形容易复发，其手术治疗往往导致美学效果不尽人意。尽管如此，通过直接切除或吸脂辅助脂肪切除术进行手术切除仍是缓解病情的唯一真正希望。本报告描述了一名患有这种畸形的患者并对相关文献进行了综述。
