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An Uncommon Presentation of a Common Benign Tumour

Year 2015, Volume: 22 Issue: 3, 191 - 193, 14.12.2015

Abstract

Lipom en yaygın benign mezenkimal yumuşak doku tümörüdür. Matür adipositlerden oluşur, daha sık obez hastalarda subkutan dokuda görülür. Subkutan lipom genellikle baş boyun bölgesi yerleşimlidir. Vulvar lipom oldukça nadirdir.

72 yaşında obez kadın hasta vulvada ağrısız şişlik şikayeti ile başvurdu. Fizik muayenede sağ vulvada yaklaşık 15 cm çaplı tek, yumuşak, mobil kitle palpe edildi. Eksize edilen materyal 13 cm çaplı fibröz kapsülle örtülü matür yağ dokusu görünümündeydi. Mikroskobik inceleme sonucu lipom tanısı konuldu.

Vulvar lipom benign klinik gidiş gösterir. Tedavi edilmezse büyük boyuta ulaşabilir. Malignite olasılığını dışlamak için tedavi komplet cerrahi eksizyon olmalıdır. Bu olgu İngilizce literatürde rapor edilmiş en büyük vulvar lipomlardan biridir.

Key Words: Lipom; Vulva; Dev Lipom.

References

  • Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant Vulvar Lipoma in an Adolescent Girl: A Case Study and Literature Review. J Pediatr Adolesc Gynecol. 2014;27(5):e117-9.
  • Goldblum JR, Folpe AL, Weiss SW. Benign lipomatous tumors. In: Weiss SW, Goldblum JR, eds. Enzinger and Weiss’s Soft Tissue Tumors. 6th editon. Philadelphia: Elsevier Saunders; 2014. p.443-83.
  • Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci. 2008;23(4):744-6.
  • Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare? Ghana Med J. 2011;45(3):125-7.
  • Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1999;84(1):5-6.
  • Oh JT, Choi SH, Ahn SG, Kim MJ, Yang WI, Han SJ. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg. 2009;44(10):1920-3.
  • Aust MC, Spies M, Kall S, Gohritz A, Boorboor P, Kolokythas P,et al. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. Br J Dermatol. 2007;157(1):92-9
  • Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. Lipoma, Atypical lipomatous tumour. In: Nielsen GP, Mandahl N, Dei Tos AP, Pedeutour F, eds. World Health Organization Classification of Tumours of Soft Tissue and Bone. 4th edition. Lyon: IARC; 2013. p.20-21,35-6.

Journal of Turgut Ozal Medical Center

Year 2015, Volume: 22 Issue: 3, 191 - 193, 14.12.2015

Abstract

Lipoma is the most common benign mesenchymal soft tissue tumor. It consists of mature adipocytes, usually located in subcutaneus tissues and occurs more frequently in obese patients. Subcutaneous lipoma is usually found in the head and neck regions. Vulvar lipoma is extremely rare. A 72-year-old obese woman was admitted to our hospital with a painless vulvar mass. Physical examination revealed a single, soft, mobile mass in the right vulvar area that measured about 15 cm in its widest dimensions. The excised specimen measured 13 cm and had a yellow cut surface, surrounded by a fibrous capsule. Microscopic examination confirmed the diagnosis of lipoma. Vulvar lipoma has benign clinical course. If this lesion is untreated, it may grow large. To exclude the possibility of malignancy, surgical excision must be performed. This case is one of the biggest vulvar lipoma cases reported in the Anglophone medical literature

References

  • Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant Vulvar Lipoma in an Adolescent Girl: A Case Study and Literature Review. J Pediatr Adolesc Gynecol. 2014;27(5):e117-9.
  • Goldblum JR, Folpe AL, Weiss SW. Benign lipomatous tumors. In: Weiss SW, Goldblum JR, eds. Enzinger and Weiss’s Soft Tissue Tumors. 6th editon. Philadelphia: Elsevier Saunders; 2014. p.443-83.
  • Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci. 2008;23(4):744-6.
  • Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare? Ghana Med J. 2011;45(3):125-7.
  • Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1999;84(1):5-6.
  • Oh JT, Choi SH, Ahn SG, Kim MJ, Yang WI, Han SJ. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg. 2009;44(10):1920-3.
  • Aust MC, Spies M, Kall S, Gohritz A, Boorboor P, Kolokythas P,et al. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. Br J Dermatol. 2007;157(1):92-9
  • Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. Lipoma, Atypical lipomatous tumour. In: Nielsen GP, Mandahl N, Dei Tos AP, Pedeutour F, eds. World Health Organization Classification of Tumours of Soft Tissue and Bone. 4th edition. Lyon: IARC; 2013. p.20-21,35-6.
There are 8 citations in total.

Details

Primary Language Tr
Journal Section Articles
Authors

Elif Usturalı Keskin

Emel Ebru Pala This is me

Ebru Çakır This is me

Cüneyt Eftal Taner This is me

Serhat Sarıkaya This is me

Fatih Keskin This is me

Publication Date December 14, 2015
Published in Issue Year 2015 Volume: 22 Issue: 3

Cite

APA Usturalı Keskin, E., Pala, E. E., Çakır, E., Eftal Taner, C., et al. (2015). An Uncommon Presentation of a Common Benign Tumour. Journal of Turgut Ozal Medical Center, 22(3), 191-193.
AMA Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. December 2015;22(3):191-193.
Chicago Usturalı Keskin, Elif, Emel Ebru Pala, Ebru Çakır, Cüneyt Eftal Taner, Serhat Sarıkaya, and Fatih Keskin. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center 22, no. 3 (December 2015): 191-93.
EndNote Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F (December 1, 2015) An Uncommon Presentation of a Common Benign Tumour. Journal of Turgut Ozal Medical Center 22 3 191–193.
IEEE E. Usturalı Keskin, E. E. Pala, E. Çakır, C. Eftal Taner, S. Sarıkaya, and F. Keskin, “An Uncommon Presentation of a Common Benign Tumour”, J Turgut Ozal Med Cent, vol. 22, no. 3, pp. 191–193, 2015.
ISNAD Usturalı Keskin, Elif et al. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center 22/3 (December 2015), 191-193.
JAMA Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. 2015;22:191–193.
MLA Usturalı Keskin, Elif et al. “An Uncommon Presentation of a Common Benign Tumour”. Journal of Turgut Ozal Medical Center, vol. 22, no. 3, 2015, pp. 191-3.
Vancouver Usturalı Keskin E, Pala EE, Çakır E, Eftal Taner C, Sarıkaya S, Keskin F. An Uncommon Presentation of a Common Benign Tumour. J Turgut Ozal Med Cent. 2015;22(3):191-3.