Asian Spine J.  2015 Apr;9(2):290-294. 10.4184/asj.2015.9.2.290.

Cervical Paravertebral Osteolipoma: Case Report and Literature Review

• Guirro P
• Salo G
• Molina A
• Llado A
• Puig-Verdie L
• Ramirez-Valencia M

• KMID: 2270175
• DOI: http://doi.org/10.4184/asj.2015.9.2.290

Abstract

Lipomas are the most frequent soft tissue tumors. Osteolipomas are a rare variant that can be difficult to diagnose. We report the case of a 66-year-old man consulting with a tumor of 2 years development in the right paravertebral cervical region. Neurologically, the patient had no sign of myelopathy or neurological focality. Magnetic resonance imaging showed a mass with a lipid component and calcifications inside within the right paravertebral musculature with a possible origin in the right C3 posterior root. A computed tomography scan and guided biopsy were performed, revealing hematic material and small bone spicules with no apparent neoplastic element. The tumor was totally removed, including the right C3 posterior branch, and was confirmed to be an osteolipoma on biopsy. The patient remains asymptomatic at 6-month follow-up. The osteolipoma is a benign tumor of soft tissue, characterized by lipoma areas with mature bone tissue differentiation, and even with hematopoietic marrow.

Keyword

Atypical lipoma; Cervical paravertebral; Soft tissue tumor; Ossifying lipoma

MeSH Terms

Aged
Biopsy
Bone and Bones
Bone Marrow
Follow-Up Studies
Humans
Lipoma
Magnetic Resonance Imaging
Spinal Cord Diseases