Advertisement

Pediatric Surgery International

, Volume 6, Issue 4–5, pp 384–386 | Cite as

Infiltrating lipoma of the buttock in a 21-month-old child

  • G. Esposito
  • A. Porreca
  • M. Ascolese
  • M. Magri
  • C. Esposito
Case Reports
  • 59 Downloads

Abstract

A case of infiltrating lipoma of the buttock in a 21-month-old child is reported. The tumor, measuring 9 x 12 cm, was situated between the gluteal muscles with a lobulation penetrating into the pelvis through the obturator foramen. It was adherent to, but not infiltrating the sciatic nerve.

Few cases of infiltrating lipomas in pediatric patients have been reported in the literature. The diagnosis is based mainly on clinical examination and CT. Fine-needle aspiration may be useful preoperatively to exclude a liposarcoma.

Recurrences are frequent when follow-up is adequately extended.

For optimal therapeutic results the excision of the tumor should include a rim of adjacent muscle tissue.

Key words

Lipoma Infiltrating lipoma Intramuscular lipoma 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Adair FE, Pack GT, Ferrior JH (1932) Lipomas. Am J Cancer 16: 1104–1120Google Scholar
  2. 2.
    Austin R, Mack GR, Townsend CM (1980) Infiltrating (intramuscular) lipomas and angiolipomas. Arch Surg 115: 281–284Google Scholar
  3. 3.
    Bramino A, Mattirolo F, Soleri R, Sacchetti L (1986) Il lipoma infiltrante in età pediatrica. Descrizione di un caso. Abstracts of 22nd Congress of Italian Society of Pediatric Surgery: p. 310Google Scholar
  4. 4.
    Dionne GP, Seemayer TA (1974) Infiltrating lipomas and angiolipomas revisited. Cancer 33: 732–738Google Scholar
  5. 5.
    Enzinger FM (1977) Benign lipomatous tumors simulating a sarcoma. In: Martin RG, Ayala AG (eds) Management of primary bone and soft tissue tumors. Year Book Medical Publishers, Chicago; pp. 11–24Google Scholar
  6. 6.
    Evans HL, Soule EH, Winkelmann RV (1979) Atypical lipoma, atypical intramuscular lipoma, and well differentiated retroperitoneal liposarcoma. Cancer 43: 574–584Google Scholar
  7. 7.
    Kindlom LG, Angervall L, Stener B, Wickbom I (1974) Intermuscular and intramuscular lipomas and hibernomas: a clinical, roentgenologic, histologic and prognostic study of 46 cases. Cancer 33: 754–762Google Scholar
  8. 8.
    Lin JJ, Lin F (1974) Two entities in angiolipoma: a study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer 34: 720–727Google Scholar
  9. 9.
    Morestin M (1987) Lipome intra-musculaire congenital. Bull Soc Anat (Paris) 72: 939–940Google Scholar
  10. 10.
    Regan JM, Bilke WH, Broders AC (1946) Infiltrating benign lipomas of extremities. West J Surg 54: 87–93Google Scholar
  11. 11.
    White LW, Hanna CD (1962) Troublesome lipomata of the upper extremity. J Bone Joint Surg 44: 1353–1354Google Scholar
  12. 12.
    Winkler M, Petrelli N, Cohen A (1987) Pediatric infiltrating lipomas: case report and review of the literature. J Surg Oncol 35: 59–62Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • G. Esposito
    • 1
  • A. Porreca
    • 1
  • M. Ascolese
    • 1
  • M. Magri
    • 2
  • C. Esposito
    • 1
  1. 1.Department of PediatricsDivision of Pediatric SurgeryNaplesItaly
  2. 2.Institute of Pathology2nd School of MedicineNaplesItaly

Personalised recommendations