Pediatric Lipoblastoma of the Neck
- Authors
- Choi, Hwan Jun; Lee, Young Man; Lee, Ji Hye; Kim, Ju Won; Tark, Min Sung
- Issue Date
- Sep-2013
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- Cervical lipoblastoma; infant
- Citation
- Journal of Craniofacial Surgery, v.24, no.5, pp E507 - E510
- Journal Title
- Journal of Craniofacial Surgery
- Volume
- 24
- Number
- 5
- Start Page
- E507
- End Page
- E510
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13386
- DOI
- 10.1097/SCS.0b013e31828dcf71
- ISSN
- 1049-2275
1536-3732
- Abstract
- Background: Lipoblastoma is a rare, benign, and encapsulated tumor arising from embryonic white fat. Most of the cases occur in the extremities and the trunk; only a few cases in the head and the neck are reported. Thus, we present a case of lipoblastoma of the neck with a review of the literature. Patient and Method: A 1-year-old male infant presented to our hospital, with a history of painless swelling in the left side of the neck for 3 months that was rapidly enlarged. His birth history and medical history were unremarkable. A physical examination demonstrated a soft and compressible mass in the left side of the neck. The mass was nontender to palpation and mobile without cellulitic changes in the overlying skin. A computed tomographic scan showed that the mass is heterogenous, has low attenuation in nature, and is 3.8 x 2.8 x 9 cm in size. Result: Under general anesthesia, transverse cervical incision was made through the neck wrinkle, and there was no invasion of any of the neck structures. Complete surgical excision demonstrated yellowish-white, irregular lobules of immature fat cells separated by a loose and myxoid connective tissue. Grossly, the mass was a homogeneous tan-pink gelatinous mass. A microscopic examination demonstrated a small number of capillaries and mature fat cells, and differentiating immature lipoblastoma cells were detected in the myxoid stroma. A pathologic finding confirmed the diagnosis of lipoblastoma. The postoperative course was uneventful. The patient underwent follow-up for 1 year after the operation, and there was no evidence of recurrence. Conclusions: The most common presentation of lipoblastoma is a painless, rapidly enlarging neck mass. Published reports showed that most of them occur before the age of 3 years. Complete surgical excision is the treatment of choice. Although lipoblastoma is an extremely rare benign tumor, it should be considered in the diagnosis of neck mass in children younger than 3 years.
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Collections - College of Medicine > Department of Plastic Surgery > 1. Journal Articles
- College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Plastic Surgery > 1. Journal Articles
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