Tarkan ÇALIŞANELLER, Özgür ÖZDEMİR, Halil KIYICI, ELİF KARADELİ

Paraspinal infiltrative lipoma complicated with paravertebral abscess in a chronic renal failure patient

İntramusküler lipom, kas içinden köken alan ve infiltratif karakteri nedeni ile malign tümörleri taklit edebilen, ve bu yüzden klinisyenler ve patologlar açısından önem arzeden derin yerleşimli bir tümördür. İntramusküler lipomun paraspinal kaslar içinde yerleşmesi oldukça nadir görülen bir durumdur. Bu makalede, bir kronik böbrek yetmezliği hastasında paravertebral abse ile komplike olmuş paraspinal kaslar içinde yerleşmiş bir intramusküler infiltratif lipom olgusu sunuldu.

Bir kronik böbrek yetmezliği hastasında paravertebral abse ile komplike olmuş paraspinal infiltratif lipom

Intramuscular lipoma is a deep-seated lipoma that arises in the muscle and, due to its infiltrative nature mimicking malignant tumors, it poses a great concern for clinicians and pathologists. Presentation of an intramuscular lipoma in the paraspinal muscles is extremely rare. In this report, we presented a rare case of thoracolumbar paraspinal infiltrative lipoma complicated with paravertebral abscess in a chronic renal failure patient.

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1) Enzinger FM, Weiss SW. Benign lipomatous tumors. In: Enzinger FM, Weiss SW, eds. Soft tissue tumors, 3rd edn. St. Louis: Mosby, 1995:381-430.
2) Fletcher CD, Martin-Bates E. Intramuscular and intermuscular lipoma: neglected diagnoses. Histopathology 1998; 12:275-287.
3) Mori K, Chano T, Matsumoto K, Ishizawa M, Matsusue Y, Okabe H. Type-selective muscular degeneration promotes infiltrative growth of intramuscular lipoma. BMC Musculoskelet Disord 2004; 18;5:20.
4) Ozcan C, Görür K, Talas D, Aydin O. Intramuscular benign lipoma of the sternocleidomastoid muscle: a rare cause of neck mass. Eur Arch Otorhinolaryngol 2005; 262(2):148-150.
5) Dattolo RA, Nesbit GM, Kelly KE, Cupp CL. Infiltrating intramuscular lipoma of the paraspinal muscles. Ann Otol Rhinol Laryngol 1995; 104(7):582-584.
6) Bennhoff DF, Wood JW. Infiltrating lipomata of the head and neck. Laryngoscope 1978; 88(5):839-848.
7) Lerosey Y, Choussy O, Gruyer X, François A, Marie JP, Dehesdin D, Andrieu-Guitrancourt J. Infiltrating lipoma of the head and neck: a report of one pediatric case. Int J Pediatr Otorhinolaryngol 1999; 47(1):91-95.
8) Mattel SF, Persky MS. Infiltrating lipoma of the sternocleidomastoid muscle. Laryngoscope 1983; 93(2):205-207.
9) Matsumoto K, Hukuda S, Ishizawa M, Chano T, Okabe H. MRI findings in intramuscular lipomas. Skeletal Radiol 1999; 28(3):145-152.
10) Pélissier A, Sawaf MH, Shabana AH. Infiltrating (intramuscular) benign lipoma of the head and neck. J Oral Maxillofac Surg 1991; 49(11):1231-1236.
11) Tallini G, Dal Cin P, Rhoden KJ, et al. Expression of HMGI-C and HMGI(Y) in ordinary lipoma and atypical lipomatous tumors: immunohistochemical reactivity correlates with karyotypic alterations. Am J Pathol 1997; 151(1):37-43.
12) Tkachenko A, Ashar HR, Meloni AM, Sandberg AA, Chada KK. Misexpression of disrupted HMGI architectural factors activates alternative pathways of tumorigenesis. Cancer Res 1997; 57(11):2276-2280.
13) Munk PL, Lee MJ, Janzen DL, et al. Lipoma and liposarcoma: evaluation using CT and MR imaging. AJR Am J Roentgenol 1997; 169(2):589-594.
14) Keskin G, Ustundag E, Ercin C. Multiple infiltrating lipomas of the tongue. J Laryngol Otol 2002; 116(5):395-397.