Spindle cell lipoma of peri-parotid soft tissues. Report of a case and histogenetic considerations

Amore, Francesca Flavia; Musumeci, Giuseppe; Castrogiovanni, Paola; Longo, Francesca; Magro, Gaetano

doi:10.7243/2055-091x-2-7

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…D'Antonio et al described cytological features suggesting spindle cell lipoma of a primary intraparotideal mesenchymal neoplasm in a 44-year-old man [5]. Amore reported a case of spindle cell lipoma arising as a nodular mass in right peri-parotid soft tissues of a 66-years-old man, diagnosed after surgical excision without preoperative cytological study [4]. In all of these cases, the diagnosis of spindle cell lipoma was definitively confirmed by histological and immunohistochemical findings.…”

Section: Discussionmentioning

confidence: 96%

“…The treatment of spindle cell lipoma is surgical excision, that must be totally performed, without need for complementary therapy [4] [7] [14]. In general, the tumor is easily removed from subcutaneous tissue, so, the surgical management is carried out for the following reasons: aesthetics when there is compression of neighbouring anatomical structures; and when the tumor presented characteristics consistent with a malignant tumor (rapid growth or invasion into nerve/bone), including those that are deep located and >5 cm in diameter [3].…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, it is a subcutaneous tumor, solitary and painless, firmer than classic lipoma, spherical or oval, mobile, well-circumscribed and enclosed by a thin fibrous capsule [1] [3]. Histologically, two main components compose spindle cell lipoma: mature fat and bland-looking spindle cells, which may be present in different proportions [4]. Consequently, these different proportions of fat and fibrous tissue generate a considerable variety of radiological features of this lesion [5].…”

Section: Introductionmentioning

confidence: 99%

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A Giant Spindle Cell Lipoma of the Parotid-Masseter Lodge (A Case Report)

Alaoui¹,

Oudidi²,

Hammas³

et al. 2021

IJOHNS

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Background: The spindle cell lipoma is a rare benign tumor that originated from subcutaneous adipose tissue. It is a slow growing lesion and may become voluminous causing the patient an aesthetic disfigure. The diagnosis is made by the histological examination combined with immunohistochemical analysis. Radiological features present a variety of description because of the proportions difference of spindle cell lipoma components, but imaging is useful to determine the mass extents. The treatment of this kind of benign tumors is surgery which must be completed without need for other therapy. Aim: This case report highlights the exceptional location of spindle cell lipoma in the soft tissues of the parotid-masseter lodge, which may raise differential diagnosis problems with a primary parotid gland tumor. Case Presentation: A 58-year-old man, with no medical history, was presenting a swelling of the parotid region, growing progressively for 6 years, without other associated sign. The patient benefited from a careful physical examination. A computed tomography and magnetic resonance imaging were carried out. Clinical and radiological findings were suggesting a benign tumor occupying the left parotid-masseter lodge. The patient went through a surgical excision of the tumor. Histological and immunohistochemical features revealed a classic shape of spindle cell lipoma. After one year of follow-up, we notice a good recovery without local recurrence. Conclusion: Surgeons and pathologists have to keep in mind the possible development of spindle cell lipoma in any subcutaneous site even if unusual one.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Giant Spindle Cell Lipoma of the Parotid-Masseter Lodge (A Case Report)

Alaoui¹,

Oudidi²,

Hammas³

et al. 2021

IJOHNS

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Spindle Cell Lipoma Occurring in the Submandibular Space: Fifth Case Reported along with a Concise Review of the Literature

Jawanda

Grewal²,

Gupta

et al. 2021

Acta Med. (Hradec Kralove, Czech Repub.)

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Spindle cell lipoma (SCL) is an uncommon histological variant of lipoma that accounts for 1.5% of all adipose tumors. It rarely occurs in the oral cavity. The most common sites of involvement are the buccal mucosa, tongue, lip, alveolar mucosa, gingiva, and palate. Submandibular space is a very rare site of occurrence for SCL. When occurs in this site, SCL mainly involves the 4th–7th decade with a female predominance. Due to wide communications of submandibular space, the actual extent and appearance of the lesions present here gets masked up especially those involving the deeper tissues leading to an inaccurate diagnosis. Wide overlap of clinical and histopathological features of SCL to other clinical pathologies leads to a challenging task for the clinicians to reach an accurate diagnosis. To our knowledge, only four cases of intraoral SCL involving the submandibular region directly or indirectly have been reported in the literature. Here we represent another rare case of SCL in an 18-year-old male patient along with a concise review of the literature. This case appears to be quite rare due to its location (submandibular space), age, and sex of the patient (18/M).

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Spindle cell lipoma of peri-parotid soft tissues. Report of a case and histogenetic considerations

Cited by 2 publications

References 18 publications

A Giant Spindle Cell Lipoma of the Parotid-Masseter Lodge (A Case Report)

A Giant Spindle Cell Lipoma of the Parotid-Masseter Lodge (A Case Report)

Spindle Cell Lipoma Occurring in the Submandibular Space: Fifth Case Reported along with a Concise Review of the Literature

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