İstemi YÜCEL, Kazım SOLAK, ZEKERİYA OKAN KARADUMAN

Dev Lipom: Olgu Sunumu

Lipom, insan vücudunun mezenkimal kaynaklı en sık görülen neoplazmı olarak karşımıza çıkmaktadır. Asemptomatik olmaları nedeniyle nadiren de olsa dev boyutlara ulaşabilirler. Ayırıcı tanıda birçok benign ve malign tümoral yapı ile karışabilmesine rağmen tedavide total cerrahi eksizyon yeterlidir. Görülme yaşı ortalama 5. dekaddır ve erkeklerde 5-10 kat daha sık ortaya çıkmaktadır. Bu olguda sırtta yaklaşık 18 cm boyutlarında dev kitle şikayeti ile başvuran ve eksizyon sonucu patolojik incelemede lipom olarak değerlendirilen 44 yaşında erkek hasta literatür e şliğinde sunulmuştur.

Giant Lipoma: A Case Report

Giant Lipoma: A C ase Report Lipoma is the most common mesenchymal neoplasm in the human body. They may rarely become giant masses due to their asymptomat ic nature. Differential diagnosis includes many malignant and benign tumors. T otal surgical excision is the preferred treatment modality. The average age period of the affected patients is the fifth decade of life. It is 5-10 times more common in males. In this case report, we report a 44 -year-old male with a giant back mass with a diameter of 18 cm and diagnosed as lipoma after its removal and histopathological examination, and reviewed the literature.

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1. Zhong LP, Zhao SF, Chen GF, Ping FY. Ultrasonographic appearance of lipoma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 738-40.
2. Kohler S. Muscle, adipose and cartilage neoplasms. In: Bolognia Jl, Jorizzo Jl, Rapini RP. eds. Dermatology, Edinburgh: Mosby; 2003: 1883-98.
3. Robbins SL, Cotran Sr, Kumar V: Pathologic Basis of Disease, 3 rd end. Philadelphia: W.B. Saunders, 1984: 270.
4. Yoshihara T, Kawano K, Mita N. Retropharyngeal lipoma causing severe dysphagia and dyspnea. J Otolaryngol 1998; 27: 363-6.
5. Piattelli A, Fioroni M, Rubini C. Intramuscular lipoma of the cheek: a case report. J Oral Maxillofac Surg 2000; 58: 817- 9.
6. Silistreli OK, Durmus EU, Ulusal BG, Oztan Y, Gorgu M. What should be the treatment modality in giant cutaneus lipomas? Review of the literature and report of 4 cases. Br J Plast Surg 2005; 58: 394-8.
7. Sanchez M, Golomb F, Moy J, Potozkin JR. Giant lipoma. Case report and review of the literature. Am J Acad Dermatol 1993; 28: 266- 70.
8. Üstündağ N, Dervişoğlu S. Recently described lipomatous tumors and our 11 year-experience on lipomatous tumors. Cerrahpaşa J Med 2003; 34: 119-26.
9. Weiss SW, Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors. 4th ed. St Louis: Mosby, 2001: 571-639.
10. Turc CC, Dalcin P, Boghosian L. Breakpoints in benign lipoma may be at 12q13 or 12q14. Cancer Genet Cytogenetic 1988; 36: 131-3.
11. Signorini M, Campiglio GL. Posttraumatic lipomas: Where do really come from? Plast Reconst Surg 1998; 101: 699-705.