Arch Craniofac Surg.  2014 Aug;15(2):102-104. 10.7181/acfs.2014.15.2.102.

Spindle Cell Lipoma: A Rare, Misunderstood Entity

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. ohdeuk1234@hanmail.net

Abstract

Spindle cell lipoma, a rare variant of lipoma, is a benign tumor found in the posterior neck and shoulder. A 24-year-old man with a close family history of malignant lymphoma had presented with a large, firm, nodular mass found in the right supraclavicular area. Excision of the deeply located mass revealed a pale yellow, rubbery nodule which grossly resembled an enlarged lymph node, with a variant of lymphoma as a primary suspect. However, pathological studies revealed the lesion to be a spindle cell lipoma. Although atypical in location, spindle cell lipoma should always be kept in differential diagnosis of a newly-noted soft tissue mass, as this entity may be easily cured by simple excision.

Keyword

Atypical lipoma; Head and neck tumor; Rare diseases

MeSH Terms

Diagnosis, Differential
Humans
Lipoma*
Lymph Nodes
Lymphoma
Neck
Rare Diseases
Shoulder
Young Adult
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