Approach and management of a giant lipoma in the left lumbar region.
Identifieur interne : 001082 ( PubMed/Checkpoint ); précédent : 001081; suivant : 001083Approach and management of a giant lipoma in the left lumbar region.
Auteurs : Giuseppe Andrea Ferraro [Italie] ; Rosa Salzillo [Italie] ; Francesco De Francesco [Italie] ; Francesco D'Andrea [Italie] ; Gianfranco Nicoletti [Italie]Source :
- International journal of surgery case reports [ 2210-2612 ] ; 2015.
Abstract
Lipomas are the most common benign tumors of the adipose tissue and can be located in any region of the body. In most cases lipomas are small and asymptomatic, but they can at times reach considerable dimensions and, depending on their anatomic site, hinder movements, get inflamed, cause lymphedema, pain and/or a compression syndrome.
DOI: 10.1016/j.ijscr.2015.08.009
PubMed: 26298094
Affiliations:
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Electronic address: gaferraro@libero.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Salzillo, Rosa" sort="Salzillo, Rosa" uniqKey="Salzillo R" first="Rosa" last="Salzillo">Rosa Salzillo</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="De Francesco, Francesco" sort="De Francesco, Francesco" uniqKey="De Francesco F" first="Francesco" last="De Francesco">Francesco De Francesco</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="D Andrea, Francesco" sort="D Andrea, Francesco" uniqKey="D Andrea F" first="Francesco" last="D'Andrea">Francesco D'Andrea</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Nicoletti, Gianfranco" sort="Nicoletti, Gianfranco" uniqKey="Nicoletti G" first="Gianfranco" last="Nicoletti">Gianfranco Nicoletti</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26298094</idno><idno type="pmid">26298094</idno><idno type="doi">10.1016/j.ijscr.2015.08.009</idno><idno type="wicri:Area/PubMed/Corpus">000D02</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000D02</idno><idno type="wicri:Area/PubMed/Curation">000D02</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000D02</idno><idno type="wicri:Area/PubMed/Checkpoint">000D02</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000D02</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Approach and management of a giant lipoma in the left lumbar region.</title><author><name sortKey="Ferraro, Giuseppe Andrea" sort="Ferraro, Giuseppe Andrea" uniqKey="Ferraro G" first="Giuseppe Andrea" last="Ferraro">Giuseppe Andrea Ferraro</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy. Electronic address: gaferraro@libero.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Salzillo, Rosa" sort="Salzillo, Rosa" uniqKey="Salzillo R" first="Rosa" last="Salzillo">Rosa Salzillo</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="De Francesco, Francesco" sort="De Francesco, Francesco" uniqKey="De Francesco F" first="Francesco" last="De Francesco">Francesco De Francesco</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="D Andrea, Francesco" sort="D Andrea, Francesco" uniqKey="D Andrea F" first="Francesco" last="D'Andrea">Francesco D'Andrea</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Nicoletti, Gianfranco" sort="Nicoletti, Gianfranco" uniqKey="Nicoletti G" first="Gianfranco" last="Nicoletti">Gianfranco Nicoletti</name><affiliation wicri:level="1"><nlm:affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of surgery case reports</title><idno type="ISSN">2210-2612</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lipomas are the most common benign tumors of the adipose tissue and can be located in any region of the body. In most cases lipomas are small and asymptomatic, but they can at times reach considerable dimensions and, depending on their anatomic site, hinder movements, get inflamed, cause lymphedema, pain and/or a compression syndrome.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">26298094</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>12</Day></DateCreated><DateCompleted><Year>2015</Year><Month>09</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2210-2612</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><PubDate><Year>2015</Year></PubDate></JournalIssue><Title>International journal of surgery case reports</Title><ISOAbbreviation>Int J Surg Case Rep</ISOAbbreviation></Journal><ArticleTitle>Approach and management of a giant lipoma in the left lumbar region.</ArticleTitle><Pagination><MedlinePgn>189-93</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijscr.2015.08.009</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S2210-2612(15)00355-7</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Lipomas are the most common benign tumors of the adipose tissue and can be located in any region of the body. In most cases lipomas are small and asymptomatic, but they can at times reach considerable dimensions and, depending on their anatomic site, hinder movements, get inflamed, cause lymphedema, pain and/or a compression syndrome.</AbstractText><AbstractText Label="PRESENTATION OF CASE" NlmCategory="METHODS">We here report the case of an otherwise healthy patient who came to our observation with a giant bulk in the left lumbar region which had been showing progressive growth in the previous 5-6 years. Physical examination, ultrasound and MRI were carried out in order to characterize the size, vascularization and limits of the lesion. Due to the pain and restriction of movement that this bulky lesion caused, surgical excision of the lesion was performed.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Giant lipomas display an important differential diagnosis problem with malignant neoplasms, especially liposarcomas, with which they share many features; often the final diagnosis rests on histological evaluation. We here discuss the diagnostic problems that arise with a giant lipoma and all the possible approaches concerning treatment of such a big lesion, explaining the reasons of our approach and management of a common tumor in our case presenting unusual dimensions and location.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our approach revealed to be successful in order to nurse our patient's pain, restore the mobility and address the aesthetic issues that this lesion caused. Postoperative checkups were carried out for one year and no signs of relapse have been reported.</AbstractText><CopyrightInformation>Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ferraro</LastName><ForeName>Giuseppe Andrea</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy. Electronic address: gaferraro@libero.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Salzillo</LastName><ForeName>Rosa</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Francesco</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Andrea</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nicoletti</LastName><ForeName>Gianfranco</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>08</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Int J Surg Case Rep</MedlineTA><NlmUniqueID>101529872</NlmUniqueID><ISSNLinking>2210-2612</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Surg. 1999 Apr;34(4):639-40</RefSource><PMID Version="1">10235343</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 1994 Aug;94(2):369-71</RefSource><PMID Version="1">8041830</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Dermatol. 2014 Sep;41(9):841-4</RefSource><PMID Version="1">25156953</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Dermatol Surg. 2004 Mar;30(3):463-7</RefSource><PMID Version="1">15008886</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Dermatol Surg. 2003 Mar;29(3):215-20</RefSource><PMID Version="1">12614411</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2004 Dec;114(7):1983-5</RefSource><PMID Version="1">15577393</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg Pathol. 2005 Oct;29(10 ):1340-7</RefSource><PMID Version="1">16160477</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cutan Aesthet Surg. 2012 Jul;5(3):207-9</RefSource><PMID Version="1">23112521</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AJR Am J Roentgenol. 1997 Aug;169(2):589-94</RefSource><PMID Version="1">9242783</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Surg Case Rep. 2014;5(7):399-402</RefSource><PMID Version="1">24862028</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Am Acad Dermatol. 1993 Feb;28(2 Pt 1):266-8</RefSource><PMID Version="1">8432930</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>South Med J. 1993 Aug;86(8):887-90</RefSource><PMID Version="1">8351548</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1971 Mar;121(3):298-306</RefSource><PMID Version="1">4322966</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Clin Pathol. 1994 Nov;102(5):677-83</RefSource><PMID Version="1">7942636</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Plast Reconstr Aesthet Surg. 2011 May;64(5):e125-7</RefSource><PMID Version="1">21247817</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 1990 Apr;24(4):362-5</RefSource><PMID Version="1">2353787</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Dermatol Surg Oncol. 1985 Nov;11(11):1070-4</RefSource><PMID Version="1">4056191</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 1994 Aug;94(2):410-1</RefSource><PMID Version="1">8041841</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Surg. 1972 Mar;59(3):165-9</RefSource><PMID Version="1">5014515</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC4573863</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Differential diagnosis</Keyword><Keyword MajorTopicYN="N">Giant lipoma</Keyword><Keyword MajorTopicYN="N">Left lumbar region</Keyword><Keyword MajorTopicYN="N">Liposarcoma</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>04</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>08</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>08</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26298094</ArticleId><ArticleId IdType="pii">S2210-2612(15)00355-7</ArticleId><ArticleId IdType="doi">10.1016/j.ijscr.2015.08.009</ArticleId><ArticleId IdType="pmc">PMC4573863</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Ferraro, Giuseppe Andrea" sort="Ferraro, Giuseppe Andrea" uniqKey="Ferraro G" first="Giuseppe Andrea" last="Ferraro">Giuseppe Andrea Ferraro</name></noRegion><name sortKey="D Andrea, Francesco" sort="D Andrea, Francesco" uniqKey="D Andrea F" first="Francesco" last="D'Andrea">Francesco D'Andrea</name><name sortKey="De Francesco, Francesco" sort="De Francesco, Francesco" uniqKey="De Francesco F" first="Francesco" last="De Francesco">Francesco De Francesco</name><name sortKey="Nicoletti, Gianfranco" sort="Nicoletti, Gianfranco" uniqKey="Nicoletti G" first="Gianfranco" last="Nicoletti">Gianfranco Nicoletti</name><name sortKey="Salzillo, Rosa" sort="Salzillo, Rosa" uniqKey="Salzillo R" first="Rosa" last="Salzillo">Rosa 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