A Rare Case of Intermuscular Lipoma in the Neck

DATE PUBLISHED
October 25, 2018
SECTION
Articles

Abstract

Deep seated lipomas are a rare entity in the literature with the intermuscular lipomas accounting for less than 2% of all benign lipomas. This is a case report of a 35 years old male which presented to clinic with a six month history of a left sided neck lump located in the left posterior cervical triangle. Intermuscular lipoma was confirmed using ultrasound and measured 67x42x12mm. In view of its size the patient underwent surgical excision under general anaesthetic. This case study details the importance of preoperative assessment of neck lumps, the surgical techniques used and possible complications of such procedures.

Keywords

Intermuscular lipoma, Lipoma, Neck lump, Neck lipoma

References

Ozcan C, Görür K, Talas D, Aydin O. Intramuscular benign lipoma of the sternocleidomastoid muscle: a rare cause of neck mass. 2005. Eur Arch Otorhinolaryngol. 2005 Feb;262(2):148-50. Epub 2004 Jun 10.

Som PM, Scherl MP, Rao VM, Biller HF. Rare presentation of ordinary lipomas of the head and neck: A review. 1986. AJNR Am J Neuroradiol 1986;7:657–64.

Kumaraswamy SV, Nanjappa M, Keerthi R, SinghS. Lipomas of oral cavity: case reports with review of literature. 2009. J Maxillofac Oral Surg 2009; 8:394-7.

Terzioglu A, Tuncali D, Yuksel A, Bingul F, Aslan G. Giant lipomas: a series of 12 consecutive cases and a giant liposarcoma of the thigh.2004. Dermatol Surg 2004;30(3):463–7

Fletcher CD, Martin-Bates E. Intramuscular and intermuscular lipoma: neglected diagnoses. 1998. Histopathology 1988;12:275-87.

Ramos-Pascua LR, Guerra-Álvarez OA, Sánchez-Herráez S, et al. Intramuscular lipomas: Large and deep benign lumps not to be underestimated. Review of a series of 51 cases. 2013. Rev Esp Cir Ortop Traumatol2013;57:391-7

Leffert RD. Lipomas of the upper extremity. 1972. JBone Joint Surg Am 1972; 54:1262–6.

Costantino PD, Freidman C .Pathologic quiz case 1: benign infiltrating lipoma. 1998. Arch Otolaryngol Head Neck Surg 114:1480–1482

Bennhoff DF, Wood CW .Infiltrating lipomata of the head and neck. 1978. Laryngoscope 88:839–848

Giacomelli L1, Miglietta AM, Pulcini A, Granai A, Fabrizio G, Manno A, Messinetti S. Intermuscular and intramuscular lipomas of the neck. 1992. Ann Ital Chir. 1992 Mar-Apr;63(2):169-73; discussion 174.

Author Details

Charles Malcolm Rees

K Gasteratos

Ahmed Atta