Lipomas – a health condition that cannot be ignored

Sitarz, Robert; Skierucha, Małgorzata; Jazienicki, Mieczysław; Kurylcio, Andrzej; Wierzbicki, Ryszard; Maciejewski, Ryszard; Polkowski, Wojciech

doi:10.5114/fmpcr.2016.63704

“…Multiple and large subcutaneous lipomas may cause challenges in surgical planning and access [2]. It is considered when surgically soft tissue tumours of the foot and ankle may require free muscle ap reconstruction and split thickness skin grafts [65].…”

Section: Discussionmentioning

confidence: 99%

Surgical excision of complex lipoma from the foot: a case report 

Uddin

¹

,

Flanagan

²

,

Reilly

³

2020

Preprint

0

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Background: Soft tissue malignant tumours of the foot and ankle are rare. Diagnostic imaging and interventional biopsy are vital to establish the nature and grading of a suspicious tumour prior to surgical intervention. The purpose of the study is to provide an account on how a symptomatic mass to the plantar aspect of the foot warranted a referral to a sarcoma centre, highlighting the importance of having urgent access to diagnostic imaging and a pathway to refer suspected cases to specialist centres. Method: A single patient with a symptomatic soft tissue tumour of the plantar foot was referred from our service to the regional sarcoma centre. It was considered to be benign and therefore open surgical resection was performed under local anaesthesia by our team, and the lesion sent for histopathological examination. Results: Histopathological analysis identified the excised mass as a lipoma to show no atypia or necrosis and mature adipose tissue with fibrous bands. At 2 years postoperatively there was no recurrence and the patient presented an asymptomatic foot. Favourable patient reported outcomes measures were observed. Conclusion: United Kingdom (UK) Guidelines suggest that all soft tissue masses of suspicious nature, greater than 50mm, deep seated irrespective of size, or fast growing should be referred to a sarcoma unit prior to surgical management. European guidance identifies a threshold of 15mm for a mass in the foot. Patients presenting with red flag symptoms irrespective of size of mass should be referred to a sarcoma centre. Advanced imaging and multidisciplinary input to enable appropriate surgical planning is recommended for these soft tissue tumours that present to the foot and ankle surgeon.Level of evidence: V case study.

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“…Lipoma is the most common form of soft tissue benign tumour that occurs as a result of hypertrophy of adipose cells [1,2,3,4,5]. The World Health Organisation (WHO) categorises lipomas, angiolipomas and liposarcomas as adipocytic tumours [6].…”

Section: Introductionmentioning

confidence: 99%

“…Intramuscular lipomas are rare and characterized due to its nature of in ltrating into muscle bres [22]. Cardiac lipomas constitute 8.4% of primary heart and pericardial tumours and intracavitary lesions can cause dyspnoea, syncope, atrial brillation and angina [2,23,24]. Intracranial lipomas constitute 0.1-0.5% of all primary brain tumours [2].…”

Section: Introductionmentioning

confidence: 99%

“…Cardiac lipomas constitute 8.4% of primary heart and pericardial tumours and intracavitary lesions can cause dyspnoea, syncope, atrial brillation and angina [2,23,24]. Intracranial lipomas constitute 0.1-0.5% of all primary brain tumours [2]. Intraosseous lipoma is a rare subset of osteolipoma seen in the calcaneus representing 0.1% of all skeletal tumours and often incidentally discovered during radiological imaging [25,26,27].…”

Section: Introductionmentioning

confidence: 99%

“…The aetiology and pathophysiology of lipoma is unknown [2,3,20]. Lipomas grow slowly within the subcutaneous region [4,19].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical excision of complex lipoma from the foot: a case report 

Uddin

¹

,

Flanagan

²

,

Reilly

³

2020

Preprint

0

View full text Add to dashboard Cite

Background: Soft tissue malignant tumours of the foot and ankle are rare. Diagnostic imaging and interventional biopsy are vital to establish the nature and grading of a suspicious tumour prior to surgical intervention. The purpose of the study is to provide an account on how a symptomatic mass to the plantar aspect of the foot warranted a referral to a sarcoma centre, highlighting the importance of having urgent access to diagnostic imaging and a pathway to refer suspected cases to specialist centres. Method: A single patient with a symptomatic soft tissue tumour of the plantar foot was referred from our service to the regional sarcoma centre. It was considered to be benign and therefore open surgical resection was performed under local anaesthesia by our team, and the lesion sent for histopathological examination. Results: Histopathological analysis identified the excised mass as a lipoma to show no atypia or necrosis and mature adipose tissue with fibrous bands. At 2 years postoperatively there was no recurrence and the patient presented an asymptomatic foot. Favourable patient reported outcomes measures were observed. Conclusion: United Kingdom (UK) Guidelines suggest that all soft tissue masses of suspicious nature, greater than 50mm, deep seated irrespective of size, or fast growing should be referred to a sarcoma unit prior to surgical management. European guidance identifies a threshold of 15mm for a mass in the foot. Patients presenting with red flag symptoms irrespective of size of mass should be referred to a sarcoma centre. Advanced imaging and multidisciplinary input to enable appropriate surgical planning is recommended for these soft tissue tumours that present to the foot and ankle surgeon. Level of evidence: V case study.

show abstract

Surgical excision of complex lipoma from the foot: A case report

Uddin

¹

,

Flanagan

²

,

Reilly

³

2022

Clinical Case Reports

View full text Add to dashboard Cite

Malignant soft tissue tumors of the foot and ankle are rare but diagnostic imaging and/or interventional biopsy are vital to establish the nature and grading of a suspicious tumor prior to definitive surgical intervention. The purpose of the study is to provide an account on how a symptomatic mass of the plantar aspect of the foot warranted a referral to a sarcoma center, highlighting the importance of having access to diagnostic imaging and a pathway to refer suspected cases to specialist centers. A single patient with a symptomatic soft tissue tumor of the plantar foot was referred from our service to the regional sarcoma center who considered to be benign, and therefore, open surgical resection was performed by our team. Histopathological analysis identified the excised mass as a lipoma. At 2 years, postoperatively there was no recurrence, and the patient presented with an asymptomatic foot. United Kingdom (UK) guidelines suggest that all soft tissue masses of suspicious nature, greater than 50 mm, deep seated irrespective of size, or fast growing lesions should be referred to a sarcoma unit prior to surgical management. European guidance identifies a threshold of 15 mm for a mass in the foot. Patients presenting with red flag symptoms irrespective of size of mass should be referred to a sarcoma center. Advanced imaging and multidisciplinary input to enable appropriate surgical planning is recommended for suspicious soft tissue tumors that present to the foot and ankle surgeon.

show abstract

Lipomas – a health condition that cannot be ignored

Cited by 5 publications

References 29 publications

Surgical excision of complex lipoma from the foot: a case report

Surgical excision of complex lipoma from the foot: a case report

Surgical excision of complex lipoma from the foot: a case report

Surgical excision of complex lipoma from the foot: A case report

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Lipomas – a health condition that cannot be ignored

Cited by 5 publications

References 29 publications

Surgical excision of complex lipoma from the foot: a case report&nbsp;

Surgical excision of complex lipoma from the foot: a case report&nbsp;

Surgical excision of complex lipoma from the foot: a case report&nbsp;

Surgical excision of complex lipoma from the foot: A case report

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Surgical excision of complex lipoma from the foot: a case report

Surgical excision of complex lipoma from the foot: a case report

Surgical excision of complex lipoma from the foot: a case report