Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A case of neck lipoblastoma in a pediatric patient

경부에 발생한 지방모세포종 1예

  • Kim, Jae Hyung (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Choi, ln Hak (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Kim, Young-Chan (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Baek, Seung-Kuk (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine)
  • 김재형 (고려대학교 안암병원 이비인후-두경부외과) ;
  • 최인학 (고려대학교 안암병원 이비인후-두경부외과) ;
  • 김영찬 (고려대학교 안암병원 이비인후-두경부외과) ;
  • 백승국 (고려대학교 안암병원 이비인후-두경부외과)
  • Received : 2018.10.23
  • Accepted : 2019.05.14
  • Published : 2019.05.31
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Abstract

Lipoblastoma is a rare benign tumor with 80-90% occurring in children less than 3 years of age and 40% occurring in children less than 1 year of age. The most common site of incidence is limb, and then trunk. Neck is the rare site of incidence. The main symptom that the patient complains about is a rapidly growing neck mass without pain. When the size of mass increases, it can cause dyspnea, Horner's syndrome. Lipoblastoma is usually diagnosed as a lipoma in the fine needle aspiration. Since it is not differentiated from lipoma, liposarcoma, and hibernating adenoma in CT and MRI, the definitive diagnosis is histologic diagnosis through surgical resection. The treatment is complete surgical resection. And recurrence rate is 9-25% due to incomplete resection. Authors report this case with a review of literatures since we experienced a case of lipoblastoma diagnosed histopathologically after surgical treatment of neck mass.

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References

  1. Camilleri AC, Smith WP, Kaiser L. Infantile cervical lipoblastoma: a case report and review of the literature. J Oral Maxillofac Surg. 2004;62:383-386. https://doi.org/10.1016/j.joms.2003.09.011
  2. Coffin CM. Lipoblastoma: an embryonal tumor of soft tissue related to organogenesis. Semin Diagn Pathol. 1994;11:98-103.
  3. O'Donnell KA, Caty MG, Allen JE, Fisher JE. Lipoblastoma: better termed infantile lipoma?. Pediatr Surg Int. 2000;16:458-461. https://doi.org/10.1007/s003839900252
  4. Rasmussen IS, Kirkegaard J, Kaasbol M. Intermittent airway obstruction in a child caused by a cervical lipoblastoma. Acta Anaesthesiol Scand. 1997;41:945-946. https://doi.org/10.1111/j.1399-6576.1997.tb04813.x
  5. Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ. From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics. 2004;24:1433-1466. https://doi.org/10.1148/rg.245045120
  6. Susam-Sen H, Yalcin B, Kutluk T, Cahit Tanyel F, Haliloglu M, Orhan D, et al. Lipoblastoma in children: Review of 12 cases. Pediatr Int. 2017;59:545-550. https://doi.org/10.1111/ped.13239
  7. Navarro OM, Laffan EE, Ngan BY. Pediatric soft-tissue tumors and pseudo-tumors: MR imaging features with pathologic correlation: part 1. Imaging approach, pseudotumors, vascular lesions, and adipocytic tumors. Radiographics. 2009;29:887-906. https://doi.org/10.1148/rg.293085168
  8. Ferreira J, Esteves G, Fonseca R, Martins C, Andre S, Lemos MM. Fine-needle aspiration of lipoblastoma: Cytological, molecular, and clinical features. Cancer Cytopathol. 2017;125:934-939. https://doi.org/10.1002/cncy.21916
  9. Kok KY, Telisinghe PU. Lipoblastoma: clinical features, treatment, and outcome. World J Surg. 2010;34:1517-1522. https://doi.org/10.1007/s00268-010-0466-8
  10. Pham NS, Poirier B, Fuller SC, Dublin AB, Tollefson TT. Pediatric lipoblastoma in the head and neck: a systematic review of 48 reported cases. Int J Pediatr Otorhinolaryngol. 2010;74:723-728. https://doi.org/10.1016/j.ijporl.2010.04.010