The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review

Rahmani, George; McCarthy, Peter; Bergin, Diane

doi:10.1177/2058460117716704

Cited by 48 publications

(63 citation statements)

References 23 publications

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“…These benign lesions are rare in the first two decades of life [5], usually developing in the fifth and sixth decades when fat begins to accumulate in overweight individuals [4]. They usually take place on the back of the neck, but are seldom found on the face, scalp, or sternal region [2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, Solitary lipomas have rarely been objects of interest, and giant lipomas have been described as measuring up to 10 cm and weighing up to 1000 g [4,6]. With a preferential location on the back and posterior cervical area [2][3][4][5][6][7]. Below the clavicles, lipomas are more common in obese female patients over 40 years of age; however, the head and neck region, are mostly found in men in their seventh decade [2].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis of head and neck lipomas starts with a good clinical examination [7]. Lipomas are nonpainful, usually round, mobile masses with a characteristic soft, and doughy feel on palpation, with the skin over them often feeling cool because of the insulating quality of fat [6].…”

Section: Discussionmentioning

confidence: 99%

“…Commonly located in the head and neck region with a 13% ratio of all lipomas [1], it usually involves in the posterior triangle. Retropharyngeal neck lipomas are a rare entity, and fewer still are giant anterior neck lipomas (> 10 cm) [2][3][4][5][6][7][8]. Lipomas can be superficial or deep; deeper lipomas are extremely rare and they are usually detected because of their size.…”

Section: Introductionmentioning

confidence: 99%

“…Localization of tumors determines the type of symptoms, like dyspnea, cough, if located in the retropharyngeal area [3]. Clinical examination alone is often insufficient to identify the nature and exact origin of the mass, in which case, imaging is necessary, particularly when the tumor is deep seated [7].…”

Section: Introductionmentioning

confidence: 99%

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Tick Mistaken as a Mole

Arora¹

2019

OOAJ

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Lipomas are among the most common mesenchymal neoplasms in humans, which occur more frequently in mature adults aged between 40-60 years old. Lipomas can arise from any part of the body where normal fat is present. The neck lipomas are rare tumors. Most lipomas are small, weighing only a few grams and measuring less than 2 × 2 cm. They usually remain asymptomatic and appear simply as a located mass that causes cosmetic concerns for the patient. Lipomas are typically slow-growing tumors; only a few grow to an exceptionally large size. A giant lipoma was defined as a lesion that measures at least 10 cm in one dimension. Most lipomas do not present any difficulty in diagnosis. The treatment of choice of cervical lipomas is surgical removal. We here present a case of a giant anterior neck lipoma with a progressive increase in the swelling, retropharyngeal localization, with pain, dyspnea, dysphagia and dysphonia reported.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tick Mistaken as a Mole

Arora¹

2019

OOAJ

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

Uddin

Flanagan

Reilly

2022

Clinical Case Reports

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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.

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