MyMedR

'Pai Syndrome' with anterior alveolar polyp: A variant of a rare clinical entity

Debnath KK, Kanapaty Y, Yong DJ, Chandran S, Bakri A

Med J Malaysia, 2019 Jun;74(3):229-230.

'Pai syndrome' (PS) is a rare congenital syndrome. Presented here, a new-born baby-girl who exhibited the characteristic features of having a midline nasal (septal) polyp, an anterior alveolar process polyp, and a pericallosal lipoma associated with corpus callosum dysgenesis of the brain. Both polyps were lined with stratified-squamous epithelium. The overall features were largely consistent with those described by Pai et al., in 1987. A midline cleft-lip (with or without cleft-alveolus) is one of the most common features of the syndrome which was however absent in this case. Instead, an anterior alveolar polyp is present, which is relatively rare.

Matched MeSH terms: Lipoma

Fulltext A Palmar Lipoma with Median and Ulnar Nerve Compressive Symptoms

Azwa, N., Shalimar, A., Jamari, S.

Malays Orthop J, 2007;1(2):33-35.

MyJurnal

Although lipoma is common in the upper limbs, it rarely occurs in the palm, and usually does not compress the surrounding structures. Here, we report a patient presenting with compressive neuropathy of the ulna and median nerves secondary to a palmar lipoma. Surgical excision led to full neurological recovery.

Matched MeSH terms: Lipoma

Fulltext A clinically silent tumour of adrenal myelolipoma: A case report

Azizan N, Myint O, Wynn AA, Thein TT, Hayati F, Nik Lah NAS

Int J Surg Case Rep, 2020;72:63-65.

PMID: 32506033 DOI: 10.1016/j.ijscr.2020.05.056

INTRODUCTION: Adrenal myelolipoma is a rare, non-functional, benign neoplasm which is constituted of mature haematopoietic elements and adipose tissues in various proportions. It is diagnosed accidentally and frequently with the widespread use of imaging modalities.

PRESENTATION OF CASE: We report a 63-year-old lady with incidental findings of adrenal tumour on computed tomography (CT) scan during a routine medical check-up. She underwent tumour resection in view of a large tumour of 7 cm in size.

DISCUSSION: CT scan is sensitive to diagnose adrenal myelolipoma in view of its fat-laden property and useful to monitor the tumour progress. Even previously she opted for conservative management; the decision for surgery was made in view of enlarging tumour and risk of surrounding tissue compression.

CONCLUSION: With increased awareness, the detection rate of this tumour is improving, hence able to prevent the complications of a large tumour such as compression, bleeding and tumour necrosis.

Matched MeSH terms: Lipoma; Myelolipoma

Fulltext A large mesenteric lipoma: an uncommon etiology of small bowel obstruction

Vrshni Menaka R Siva Nathan, Mahedzan Mat Rabi

Malaysian Journal of Medicine and Health Sciences, 2020;16(3):319-321.

MyJurnal

Fat density lesions or masses arising from the mesentery are best imaged in Computed Tomography or Magnetic Res- onance Imaging scans. This a case of a 75 year old man who presented with intestinal obstructive symptoms. Urgent computed tomography scan was carried out which revealed a large mesenteric lipoma compressing the small bowel at the level of the jejunal loops. Small bowel obstruction can be due to intrinsic, extrinsic and intraluminal causes. Mesenteric lipomas are uncommon, thus torsion or twisting of the mesenteric lipoma causing intestinal obstruction is exceptionally rare.

Matched MeSH terms: Lipoma

Fulltext A rare case of Dysphagia secondary to a large oesophageal lipoma

Koh KS, Chong VH, Yapp SK, Chong CF

Med J Malaysia, 2012 Oct;67(5):522-3.

PMID: 23770871

Dysphagia is considered a warning symptom that requires exclusion of significant pathology such as oesophageal cancer, especially in elderly patients. Benign neoplasms of the oesophagus are rare. We report the case of a 69-year-old lady who presented with a five years history of infrequent intermittent dysphagia that had rapidly progressed over one month. This was associated with globus sensation, weight loss, intermittent episodes of stridor and aspiration pneumonia. Investigations revealed a large oesophageal lipoma in the proximal oesophagus extending down to the lower oesophagus. This was successfully resected via a left cervical approach. She remained well two years after the surgery.

Matched MeSH terms: Lipoma

Fulltext A rare case of retropharyngeal hibernoma

Nazli Z, Norizal MN, Noor Kaslina MK, Abdul Fattah AW

Med J Malaysia, 2015 Apr;70(2):98-9.

PMID: 26162385 MyJurnal

Hibernoma is a slow growing, rare benign tumour, which derived from brown adipose tissue. This tumour is usually found in the area where foetal fat persists such as back, axilla, retro peritoneum and thorax. Hibernoma rarely occurs in the retro pharynx. We report a case of retropharyngeal hibernoma in a 44-year-old male. He presented with obstructive symptoms for six months and a retropharyngeal mass upon examination. His CT scan findings showed a mass in the prevertebral region from level of C2 until C5 causing narrowing of upper aero digestive tract. Histopathological examination reported as hibernoma.

Matched MeSH terms: Lipoma

Fulltext Adult Intramuscular Shoulder Angiomyolipoma: a rare case

Kadhim Jawad Obaid, Yahya Mohammad Arpine, Nor Salmah Bakar, Marlina Tanty Ramli Hamid, Ahmed Ramzi Yusof

Journal of Clinical and Health Sciences, 2016;1:37-39.

Intramuscular shoulder angiomyolipomas are very rare. We report a case in a 22-year-old male with a well circumscribed lesion located on the back of the shoulder. This lesion, differs from renal angiomyolipoma in terms of non-association with tuberous sclerosis, circumscription and male predominance. Another characteristic feature is the absence of epithelioid cells. Differential diagnosis includes lipoma, angiolipoma, angioleiomyoma, hemangioma, myolipoma and liposarcoma. It is distinguished from the above mentioned entities by the presence of a combination of thick-walled blood vessels, smooth muscle and fat.

Matched MeSH terms: Lipoma; Angiolipoma; Angiomyolipoma

Fulltext Adult Intramuscular Shoulder Angiomyolipoma: a rare case

Kadhim Jawad Obaid, Yahya Mohammad Arpine, Nor Salmah Bakar, Marlina Tanty Ramli Hamid, Ahmed Ramzi Yusof

Journal of Clinical and Health Sciences, 2016;1(2):37-39.

MyJurnal

Intramuscular shoulder angiomyolipomas are very rare. We report a case in a 22-year-old male with a well circumscribed lesion located on the back of the shoulder. This lesion, differs from renal angiomyolipoma in terms of non-association with tuberous sclerosis, circumscription and male predominance. Another characteristic feature is the absence of epithelioid cells. Differential diagnosis includes lipoma, angiolipoma, angioleiomyoma, hemangioma, myolipoma and liposarcoma. It is distinguished from the above mentioned entities by the presence of a combination of thick-walled blood vessels, smooth muscle and fat.

Matched MeSH terms: Lipoma; Angiolipoma; Angiomyolipoma

Angiomyolipoma of the vagina--an uncommon tumour. Case report

Peh SC, Sivanesaratnam V

Br J Obstet Gynaecol, 1988 Aug;95(8):820-3.

PMID: 3166957

Matched MeSH terms: Lipoma/pathology*

Fulltext Benign periarticular, bone and joint lipomatous lesions

Kheok SW, Ong KO

Singapore Med J, 2017 Sep;58(9):521-527.

PMID: 28948289 DOI: 10.11622/smedj.2017087

Benign periarticular, bone and joint lipomatous lesions are rare entities that are increasingly being identified using current imaging techniques. This pictorial review illustrates the wide range of imaging presentations of these lesions at various sites and their pathognomonic features. The main lesions reviewed include intraosseous lipoma, liposclerosing myxofibrous tumour, lipoma arborescens and intra-articular lipoma.

Matched MeSH terms: Lipoma/pathology

Fulltext Comparison of Non-Operative Mesotherapy and Surgery in the Management of Superficial Lipomas

Kataria K, Venkatesh M, Chumber S, Rathore Y, Srivastava A, Dhar A, et al.

Malays J Med Sci, 2021 Feb;28(1):51-58.

PMID: 33679220 DOI: 10.21315/mjms2021.28.1.7

Background: Lipomas are benign adipocytic tumours. Surgical excision is the gold standard for treating such lipomas, but it results in unaesthetic scarring.

Methods: A total of 126 patients were randomised into two groups. The patients in Group A underwent mesotherapy (n = 66) and those in Group B underwent surgery (n = 60). The patients in Group A group received six sessions of mesotherapy treatment at 2-week intervals. Both groups were followed up for 12 weeks, during which they were assessed for complications arising from treatment, reduction of the size of the lipoma and cosmetic outcomes.

Results: The overall mean age of the patients was 32.93 (± 10.1) years old and the mean volume of the lipomas was 2.29 (± 3.8) mL. A 55.86% (P = 0.0032) mean reduction in the volume of lipomas was noted in the patients who received mesotherapy, while one patient showed a gain of 16% by volume. The patients in Group A (cosmetic score ≥ 4: 63%) were happier with the treatment than those in Group B (cosmetic score ≥ 4: 21%).

Conclusion: Our findings indicate that mesotherapy modestly reduces the volume of lipomas with very few and minor complications and excellent cosmetic outcomes.

Matched MeSH terms: Lipoma

Dendritic fibromyxolipoma: a variant of spindle cell lipoma with extensive myxoid change, with cytogenetic evidence

Wong YP, Chia WK, Low SF, Mohamed-Haflah NH, Sharifah NA

Pathol. Int., 2014 Jul;64(7):346-51.

PMID: 25047505 DOI: 10.1111/pin.12176

Dendritic fibromyxolipoma (DFML), a rare, recently described distinct benign soft tissue tumor, has many clinicopathological features reminiscent of spindle cell lipoma and solitary fibrous tumor with myxoid change. It is distinguished histologically from both entities by the presence of spindle and stellate cells with dendritic cytoplasmic prolongations, prominent myxoid stroma with abundant keloidal collagen and occasional small plexiform vascular proliferation. We describe a case of histologically confirmed DFML of the left shoulder in a 67-year-old male, in which subsequent cytogenetic analysis revealed deletion involving 13q14.3 region in all the tumor cells, typically detected in spindle cell lipoma. In the presence of many clinicopathological similarities between DFML and spindle cell lipoma including chromosomal abnormalities, we postulate that DFML is merely a rare variant of spindle cell lipoma with extensive myxoid degeneration, and may not be considered as a separate entity. The possible differential diagnosis and their distinguishing features are briefly discussed.

Matched MeSH terms: Lipoma/diagnosis; Lipoma/genetics; Lipoma/immunology; Lipoma/pathology*

Fulltext Giant gluteal lipoma-like liposarcoma: a case report

Sultan M, Burezq H, Bang RL, El-Kabany M, Eskaf W

World J Surg Oncol, 2008;6:81.

PMID: 18664291 DOI: 10.1186/1477-7819-6-81

Liposarcoma is the second most common soft tissue sarcoma in adults with a peak incidence between the 4th and 6th decade of life and slight preponderance to the male gender. It originates from multipotential primitive mesenchymal cells, rather than mature adipose tissue.

Matched MeSH terms: Lipoma/pathology*; Lipoma/surgery

Fulltext Giant lipomatous lesion of the thigh with retroperitoneal extension: case series

Khang NC, Ahmad Rafizi H, Zainal Ariffin A, Chye PC

Med J Malaysia, 2014 Dec;69(6):273-4.

PMID: 25934958 MyJurnal

Giant lipomatous lesions of the thigh swelling with extension into retroperitoneum are rare. Lesions can be malignant or benign and can have similar clinical presentation. Treatments options differ and their prognosis varies with histology. We present two cases of liposarcoma and lipoma with the same clinical presentations that underwent surgical resection.

Matched MeSH terms: Lipoma

Fulltext Huge buccal angiomyolipoma: a rare entity

Cheah SC, Jaafar R, Jais MH

Braz J Otorhinolaryngol, 2020 Dec;86 Suppl 1:61-63.

PMID: 28918977 DOI: 10.1016/j.bjorl.2017.08.002

Matched MeSH terms: Lipoma*

Intraoral spindle-cell lipoma: report of a case and literature review

Khoo SP, Lian CB

Ann Dent, 1995 Summer;54(1-2):53-5.

PMID: 8572549

Spindle-cell lipoma (SCL) of the oral cavity is very rare. There are only four such reported cases in the literature. A concise literature review of SCL and a case report of a SCL affecting the cheek and lip of a 23-year-old man is presented.

Matched MeSH terms: Lipoma/pathology*

Fulltext Intraosseous lipoma of the calcaneum: a rare cause of heel pain

Mawardi M, Hussin P

Malays Fam Physician, 2018;13(3):38-39.

PMID: 30800233

Matched MeSH terms: Lipoma*

Fulltext Lipoleiomyoma of the uterus

Karikalan B, Pasupathi T

Indian J Pathol Microbiol, 2017 Jan-Mar;60(1):128-129.

PMID: 28195112 DOI: 10.4103/0377-4929.200052

Matched MeSH terms: Lipoma/complications*; Lipoma/diagnosis*; Lipoma/pathology

Fulltext Lipoleiomyoma: a rare benign tumour of the uterus

Johari B, Koshy M, Sidek S, Hanafiah M

BMJ Case Rep, 2014 Oct 19;2014.

PMID: 25331147 DOI: 10.1136/bcr-2014-205814

Matched MeSH terms: Lipoma/diagnosis*

Fulltext Lipoma Arborescens of the knee: a case report of rare entity

Ikmal Hisyam Bakrin, Hasni Mahayidin, Khairul Shakir Ab Rahman, Wan Irnawati Wan Ab Rahman, Sazali Satari, Asrul Fahmi Azizan

Malaysian Journal of Medicine and Health Sciences, 2018;14(3):60-63.

MyJurnal

Lipoma arborescens is a non-neoplastic, reactive condition due to chronic synovial inflammation and irritation, characterized by frond-like or villous proliferation of mature adipose tissue covered by hyperplastic synovium. The knee is the most commonly affected site particularly the suprapatellar pouch. We report a case of lipoma arborescens affecting the right knee of an elderly Chinese gentleman associated with bilateral knee and hand osteoarthritis. He presented with progressive worsening of right knee swelling and pain. Partial synovectomy of the right knee was performed and no lesion recurrence was noted at one year post-operation. The clinical and imaging findings, pathological features, together with differential diagnoses were discussed.

Matched MeSH terms: Lipoma

Displaying publications 1 - 20 of 28 in total