Anterior neck lipoma — A giant predicament


Though lipomas are one of the commonest mesenchymal tumours in adults, a lipoma of the head and neck region is relatively rare. Among those lipomas that develop in the neck, the posterior triangle is the most common location; occurrence in the anterior triangle is very rare. Though most lipomas are <5cm in size, giant lipomas >10cm have also been reported in different parts of the body. Giant lipomas of the neck, particularly those >20cm, are extremely rare. Most patients of giant lipoma of the neck either present with complaints of cosmetic disfigurement or features of compression on deeper structures. Most lipomas do not pose any diagnostic dilemma. However, when a patient presents with a large, rapidly progressing lipoma of the head and neck region, the possibility of malignancy should be kept in mind. Surgical excision remains the treatment of choice.

This is a preview of subscription content, access via your institution.


  1. 1.

    Russell RCG, Williams N, Bulstrode CJK. Bailey & Love short practice of surgery, London: Arnold publishers 2004; pp. 1151–3.

    Google Scholar 

  2. 2.

    Yaknbu A, Edino S, Mohammed A. Giant and complicated subcutaneous lipoma of the neck. WAJM 2008;27:44–6.

    Google Scholar 

  3. 3.

    Som PM, Scherl MP, Rao VM, Biller HF. Rare presentations of ordinary lipomas of the head and neck—a review. American Journal of Neuroradiology 1986;7:657–64.

    CAS  PubMed  Google Scholar 

  4. 4.

    Medina CR, Schneider S, Mitra A, Spears J, Mitra A. Giant submental lipoma: Case report and review of the literature. Can J Plast Surg 2007;15:219–22.

    PubMed Central  PubMed  Google Scholar 

  5. 5.

    Salam G. Lipoma excision. Am Fam Physician 2002;65:901–5.

    PubMed  Google Scholar 

  6. 6.

    Sanchez MR, Golomb FM, Moy JA, Potozkin JR. Giant lipoma: Case report and review of the literature. J Am Acad Dermatol 1993;28:266.

    Article  CAS  PubMed  Google Scholar 

  7. 7.

    Ahuja AT, King AD, Kew J, King W, Metreweli C. Head and neck lipomas: sonographic appearance. AJNR Am J Neuroradiol 1998;19:505–8.

    CAS  PubMed  Google Scholar 

  8. 8.

    Barisa AD, Pawar NH, Bakhshi CD, Puri YS, Sheikh A, Nikam NN. Giant Axillary Lipoma. Bombay Hosp J 2009;51:91–3.

    Google Scholar 

  9. 9.

    Koh HK, Bhawan J. Tumors of the skin. In: Moschella SL, Hurley HJ, eds. Dermatology, 3rd ed. Philadelphia: Saunders, 1992; pp. 1721–808.

    Google Scholar 

  10. 10.

    Calhoun KH, Bradfield JJ, Thompson C. Liposuction-assisted excision of cervicofacial lipomas. Otolaryngol Head Neck Surg 1995;113:401–3.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Shamita Chatterjee.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Chatterjee, S., Prasad, S., Nayak, S.D. et al. Anterior neck lipoma — A giant predicament. Hellenic J Surg 87, 203–205 (2015).

Download citation

Key words

  • Lipoma
  • Anterior neck lipoma
  • Giant lipoma
  • Neck Mass