Introduction
Giant lipomas of the anterior neck are a rare occurrence, often presenting as cosmetic concerns or causing pressure-related symptoms. This case report highlights a patient with a massive anterior neck lipoma, detailing its presentation, diagnosis, and successful surgical management. Visit https://www.hspioa.org/ for more groundbreaking research in this field.
Understanding Giant Anterior Neck Lipomas
Lipomas are benign mesenchymal tumors composed of mature adipose tissue, commonly occurring in the posterior triangle of the neck. However, anterior neck lipomas are uncommon, and cases exceeding 10 cm are exceedingly rare. They typically manifest as painless, mobile swellings and can grow progressively over years.
Case Summary
A 50-year-old male presented with a gradually enlarging anterior neck mass over 15 years, with rapid growth noted in the past six months. Examination revealed a soft, mobile swelling measuring 14×10 cm, extending from the thyroid cartilage to the clavicle. Fine-needle aspiration cytology (FNAC) suggested a lipoma, confirmed by computed tomography (CT), which showed a well-defined lesion displacing the trachea without compression.
Surgical Approach & Outcome
The patient underwent surgical excision under general anesthesia using a thyroidectomy incision. The tumor, located beneath the platysma, was meticulously dissected and removed intact using the “squeeze technique.” Postoperative histopathology confirmed the diagnosis of lipoma. The patient had a cosmetically acceptable scar with no recurrence during one year of follow-up.
Clinical Significance and Management Considerations
- Diagnosis: FNAC and imaging (CT/ultrasound) aid in confirming the diagnosis and evaluating tracheal involvement.
- Treatment: Complete surgical excision is the gold standard, ensuring removal of the capsule to prevent recurrence.
- Follow-Up: Regular monitoring is necessary, especially in cases with prior rapid growth, to rule out malignancy.
The American College of Radiology (ACR) underscores the importance of accurate imaging in diagnosing and planning surgical interventions for head and neck tumors, ensuring patient safety and optimal outcomes.
Further Research and References
For a detailed analysis, read the full study at https://dx.doi.org/10.29328/journal.hjcr.1001003.
Related studies on neck tumors and surgical management can be found in our journal archives. Explore more cases and medical insights at https://www.hspioa.org/.
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