Giant Intramuscular Lipoma of the Gluteus: A Case Report and Literature Review
DOI:
https://doi.org/10.30683/1927-7229.2024.13.08Keywords:
Giant, intramuscular, lipoma, gluteus, CT scan, excisionAbstract
Lipomas are benign tumors of mesodermal origin composed of mature adipocytes. They are classified into superficial and deep types located in the subcutaneous and subfascial locations respectively. The subfascial is further subdivided into 2 subtypes intermuscular and intramuscular. Presented was a 63 year old woman with a right sided swelling of the buttock in the past 7 months. Clinical, imaging and histologic evaluation resulted in the definitive diagnosis of a giant intramuscular lipoma of the gluteus. The lesion was well circumscribed with a defined pseudo capsule an indication of a benign disease with minimal risk of recurrence when compared to the infiltrative type. Giant intramuscular lipoma should be considered as a differential diagnosis of a gluteal mass. CT scan was useful in the preoperative diagnosis that included the nature of the tumor due to the low attenuation of fat, homogenous echogenicity, well defined capsule that were in favour of a benign lesion than malignancy. This was in addition to the extent of the tumour. Surgical excision provided the definitive diagnosis.
References
Giri SK, Mishra D, Jain M, Purkait S. Giant intramuscular infiltrating fibro lipoma of the right leg with common peroneal nerve neuropathy. BMJ Case Report 2021; 14: e244852. https://doi.org/10.1136/bcr-2021-244852 DOI: https://doi.org/10.1136/bcr-2021-244852
Liu D, Li C, Chen L. Management of giant intermuscular lipoma of the hips: a case report and review of literature. Molecular and Clinical Oncology 2013; 1: 369-372. https://doi.org/10.3892/mco.2013.63 DOI: https://doi.org/10.3892/mco.2013.63
Sanchez MR,Golom FM, May JA, Potozkin JR.Giant lipoma: case report and review of the literature. J Am Acad Dermatol 1993; 28(2Pt1): 266-268. https://doi.org/10.1016/S0190-9622(08)81151-6 DOI: https://doi.org/10.1016/S0190-9622(08)81151-6
Al J, Zarb R Cassidy S, Lin K. A rare case of a giant intramuscular lipoma of the upper extremity in a pediatric patient. Cureus 2024; 16(2): e53575.
Soni A, Mehta M, Shivodkar K, Sing A, Talawadekar G. A case of intramuscular lipoma of the thenar eminence with a short review of published hand lipoma case report. Cureus 2023: 15(5): e39828. https://doi.org/10.7759/cureus.39628 DOI: https://doi.org/10.7759/cureus.39628
Morales CAM, Urquljo MG, Flores LFM, Gallegas MNS, Shade MR. Giant intramuscular thigh lipoma: A case report and review of literature. International Journal of Surgery Case Reports 2021; 82: 105885. https://doi.org/10.1016/j.ijscr.2021.105885 DOI: https://doi.org/10.1016/j.ijscr.2021.105885
Alghamdi K, Alshayie M. Large intramuscular and parosteal lipoma of the upper limb> A case report and literature review. Journal of Musculoskeletal Surgery and Research 2024; 8: 75-80. https://doi.org/10.25259/JMSR_183_2023 DOI: https://doi.org/10.25259/JMSR_183_2023
Byeon JY, Hwang YS, Lee JH, Chri HJ. Recurrent intramuscular lipoma at extensor pollicis brevis: a case report. World J Clin Cases 2023; 11: 684-691. https://doi.org/10.12998/wjcc.v11.i3.684 DOI: https://doi.org/10.12998/wjcc.v11.i3.684
Jia Y, Wang J, Deng W, Han J, Dong H, Leng X. Giant intermuscular lipoma of hip: A case report. International Journal of Surgery Case Reports 2022; 94: 107121. https://doi.org/10.1016/j.ijscr.2022.107121 DOI: https://doi.org/10.1016/j.ijscr.2022.107121
Zografos GC, Kouerinis I, Kalliopi P, Karmen A, Evangelos M, Androulakis G. Giant lipoma of the thigh in a patient with morbid obesity. Plastic and Reconstructive Surgery 2002; 109: 1467-1468. https://doi.org/10.1097/00006534-200204010-00052 DOI: https://doi.org/10.1097/00006534-200204010-00052
Nishida J, Morita T, Ogose A. Imaging characteristics of deep seated lipomatous tumor: intramuscular lipoma, intramuscular lipoma and lipo-like liposarcoma. J Orthop Sci 2007; 12: 533-541. https://doi.org/10.1007/s00776-007-1177-3 DOI: https://doi.org/10.1007/s00776-007-1177-3
Maglitto F, Norino G, Arena a, Friscia M, Barone S, Committeri U, Califano L. A giant intermuscular lipoma of the tongue: A case report and literature review. Oral and Maxillofacial Surgery Cases 2023; 9: 100287. https://doi.org/10.1016/j.omsc.2022.100287 DOI: https://doi.org/10.1016/j.omsc.2022.100287
Hussain A, Mahmood H. Ulcerated giant lipoma of the right thigh. Internet J Surg 2006: 11. https://doi.org/10.5580/26bc DOI: https://doi.org/10.5580/26bc
Benedetto GD, Aquinati A, Astolfi M, Berranni A. Giant compressing lipoma of the thigh. Plastic and Reconstructive Surgery 2004; 11. https://doi.org/10.1097/01.PRS.0000143929.24240.9A DOI: https://doi.org/10.1097/01.PRS.0000143929.24240.9A
Guerrissi J, Klersfold D, Sampieto G, Valdiueso J. Limitation of thigh function by giant lipoma. Plastic and Reconstructive Surgery 1994; 94: 410-411. https://doi.org/10.1097/00006534-199408000-00042 DOI: https://doi.org/10.1097/00006534-199408000-00042
Lacaria M, El-Damellawy D, McGoves-Jordan J. A rare case of pediatric lipoma with t(9.12) (p22.q14) and evidence of HMGA2-NFIS gene fusion. Cancer Genet 2017; (216-217): 100-104. https://doi.org/10.1016/j.cancergen.2017.07.011 DOI: https://doi.org/10.1016/j.cancergen.2017.07.011
Libby R, Copeland-Halperin, Pimpinella V, Copeland M. Combined liposuction and excision of lipomas: Long-term evaluation of a large sample of patients. Plastic Surgery International 2015; 1: 625396. https://doi.org/10.1155/2015/625396 DOI: https://doi.org/10.1155/2015/625396
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.