A RARE CASE OF GIANT BREAST LIPOMA
Abstract
Lipomas of the breast are usually small
but a giant lipoma of the breast is uncommon
and only a few references are
found in the literature. They may mimic
malignant breast tumors. A 42-year-old
woman presented with a 1- year history
of a slowly enlarging right breast mass.
Clinical examination revealed a palpable
smooth, soft-firm, well circumscribed
mass of size 15x10 cm in the right
breast. FNAC showed few clusters of
mature adipocytes and scant fibroblasts.
On ultrasonography, the mass was homogenously
hypoechoic with smooth
margins. Preoperatively a diagnosis of
benign neoplasm of the breast, probably
a giant lipoma was considered. Surgical
excision of the mass was done. Histological
examination confirmed it as a lipoma
and no evidence of atypia or malignancy
was found. The diagnosis of a
breast lipoma is not usually easy but can
be made if the condition is borne in mind
and a careful history and clinical examination
is carried out.
Full Text:
PDFReferences
Hansen SL. Skin and subcutaneous
tissue. In: Brunicardi FC, ed.
Schwartz’s Principles of Surgery. 8th
ed. New York, NY: McGraw-Hill Professional;
:437.
Rydholm A, Berg NO. Size, site, and
clinical incidence of lipoma: factors in
differential diagnosis of lipoma and
sarcoma. Acta Orthop Scand.
;54: 929 –934.
Pandya KA, Radke F. Benign skin
lesions: lipomas, epidermal inclusion
cysts, muscle and nerve biopsies.
Surg Clin North Am. 2009;89:677–
Sanchez MR, Golomb FM, Moy JA,
et al. Giant lipoma: case report and
review of the literature. J Am Acad
Dermatol. 1993;28:266 –268.
Brandler TI. Large brolipoma. Br
Med J. 1894;1:574.
Hawary M, Cardoso E, Sultan M,
Hassanain J (1999) Giant breast tumors.
Ann Saudi Med 19:174–176.
Cavalcanti Ribeiro R, Saltz R, Espana
Quintera LF (2008) Breast reconstruction
with parenchymal cross
after giant lipoma removal. Aesthet
Plast Surg 32:695–697.
Grossman J, Menes T, Lahat G, Gur
E, Weiss J, Barnea Y (2011) Use of
the oncoplastic reduction pattern technique
following removal of a giant
breast lipoma. Ann Plast Surg 20:1–3.
Schmidt J, Schelling M, Lerf B, et al.
Giant lipoma of the breast. Breast J.
;15:107–108.
Lerman R, Pettinga J, Miller P,
Amin MB, Pass HA, Breast J. Giant
mammary lipoma 2002 Sep-Oct; 8
(5) : 307-8.
Delli Santi G, Bellioni M, Loreti
A, et al. Giant breast lipoma: a rare
cause of breast asymmetry. Plast
Reconstr Surg. 2006;117:1068 –
Rodriguez LF, Shuster BA, Milliken
RG. Giant lipoma of the
breast. Br J Plast Surg.
;50:263–265.
Lanng C, Eriksen BO, Hoffmann
J. Lipoma of the breast: a diagnostic
dilemma. Breast. 2004;13:408 –
Auckland T.H. Uncommon presentations
of breast cancer with special
reference to Pseudolipoma.
Med. J. Australia. 1966; 2:1090-
Shucksmith H.S. and Dossett
J.A. Pseudolipoma of the breast: A
mask for cancer. Brit. Med. J. 1965;
:1459-1462.
Rubenstein R, Roenigk HH Jr,
Garden JM, et al. Liposuction for
lipomas. J Dermatol Surg Oncol.
;11:1070 –1074.
Nichter LS, Gupta BR. Liposuction
of giant lipoma. Ann Plast Surg.
; 24:362–365.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University