Treatment of Post-traumatic Lipoma on the face: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5919

Keywords:

Lipoma; Neoplasia; Head.

Abstract

Lipoma is a benign mesenchymal tumor of tissue that appears in places with the presence of adipocytes. They are more common in adulthood, being found in 80% of the cases in the chest and in the extremities of the body. Less frequently, about 13-20%, manifest in the head and neck. The tumor shows a predilection for Caucasian males, between 49 and 60 years old. The lipomas have anetiology related to genetic diseases, endocrine disorders, heredity, local infection and trauma. The treatment of choice is surgical excision of the lesion, with rare cases of recurrence. Generally, these are associated with in adequate resection of neoplasia, especially, of intramuscular lipomas with an infiltrative pattern. Thus, the objective of this article is to present a clinical case of lipoma  that developed after suffering trauma to the face region. A case of a 53 year old male patient, feoderma, with a motorcycle accident about 3 years was described. On physical examination, there was an in crease in the circumscribed volume in the right temporofrontal region, the same region affected 3 years ago in the previous accident, with about 10 cm in diameter, softened palpation, normal coloration of the adjacent tissue, with out related pain complaints. A fine needle aspiration biopsies (FNAB) was performed, which was negative and, subsequently, surgical excision of the lesion. After excision al biopsy, it was confirmed by macroscopic diagnosis, which was adipose tissue, compatible with a lipoma. The patient continues two months after the operation, with no signs of recurrence.

References

Allon, I; et al (2011). Lipomatous tumors of the oral mucosa: Histomorphological, histochemical and immunohistochemical features. Acta Histochemica, v. 113, n. 8, p. 803–809.

Avelar, RL; et al (2008). Lipomas da região oral e maxilofacial: Estudo retrospectivo de 16 anos no Brasil. Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial, v. 49, n. 4, p. 207–211.

Barisella, M; Giannini, L; Piazza, C (2020). From head and neck lipoma to liposarcoma: a wide spectrum of differential diagnoses and their therapeutic implications. Current opinion in otolaryngology & head and neck surgery, v. 28, n. 2, p. 136–143, 1 abr.

Costa, DFN; et al (2017). Surgical Treatment of Lipoma: Report of two cases. Rev. Cir. Traumatol. Buco-Maxilo-Fac., Camaragibe v.17, n.3, p. 25-28, jul./set.

Dasari, K; Kasetty, HK; Ghanta, S (2014). Infiltrating oral lipoma a rare variant. Journal of Cutaneous and Aesthetic Surgery, v. 7, n. 4, p. 236.

De Bree, E; et al (2015). Lipomatous tumours of the head and neck: a spectrum of biological behaviour. European Archives of Oto-Rhino-Laryngology, v. 272, n. 5, p. 1061–1077.

Hlela, C; Mancini, AJ (2020). Deep forehead lipomas in children—A series and review. Pediatric Dermatology, 25 fev.

Huh, JW; et al (2016). The accuracy of ultrasonography on the location of lipomas in the forehead. Dermatologic Surgery, v. 42, n. 2, p. 191–194.

Kim, JS; et al (2018). Clinico-Surgical Characteristics of Head and Neck Lipomas Head. Dermatol Surg, p. 1–3.

Lee, J.S; et al (2014). Clinical Characteristics of the Forehead Lipoma. Archives of Craniofacial Surgery, v. 15, n. 3, p. 117.

Mandarino, SDeCA; Guimarães, MADeA; Coutinho, MA (2014). Lipoma in the parotid region – case report. Rev. Cir. Traumatol. Buco-Maxilo-Fac, v. 14, n. 3, p. 33–38.

Mello, DF; Jr, AH (2010). Giant subgaleal lipoma: case report. Rev Bras Cir Craniomaxilofac, v. 13, n. 3, p. 180–182.

Miloro, M; et al (2015). Oral spindle cell lipoma: A rare occurrence and review of the literature. Oral and Maxillofacial Surgery Cases, v. 1, n. 1, p. 12–14.

Morishita, T; et al (2015). Frontal parosteal lipoma with thickening of diploic space. JPRAS Open, v. 5, p. 19–23.

Murphy, R; Hague, A; Srinivasan, J (2019). A review of forehead lipomas: Important tips for the training surgeon. The Surgeon, v 17, n. 3, p 186-189.

Resende, R; Meirelles, M; Varella, R (2013). Remoção cirúrgica de lipoma de grande proporção: Relato de caso. Rev. Cir. Traumatol Buco-Maxila-Fac, v. 13, n. 2, p. 37–42.

Published

17/07/2020

How to Cite

LEAL, C. B.; SEIXAS, D. R.; FILHO, M. D.; CASTANHA, D. de M.; OLIVEIRA III, J. E. de; RCOHA, C. B. S.; SILVA, J. de Ângeliz A. Treatment of Post-traumatic Lipoma on the face: case report. Research, Society and Development, [S. l.], v. 9, n. 8, p. e572985919, 2020. DOI: 10.33448/rsd-v9i8.5919. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/5919. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences