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Lipoblastomatosis of the neck causing hemiparesis: A case report and review of the literature
Author(s) -
Sun James J.,
Rasgon Barry M.,
Hilsinger Raymond L.
Publication year - 2003
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.10176
Subject(s) - lipoblastoma , medicine , adipose tissue , hemiparesis , spinal cord , spinal canal , resection , cord , lipoma , anatomy , surgery , radiology , lesion , psychiatry , endocrinology
Background. Lipoblastoma and lipoblastomatosis are rare pediatric adipose tumors that sometimes affect the neck or spinal cord. This case is the third report of lipoblastoma extending into the spinal canal, the first report of intradural tumor extension, and the first report of hemiparesis resulting from lipoblastoma compressing the spinal cord. Methods. A 13‐month‐old boy was seen by a pediatrician for a firm, supraclavicular neck mass on the left side. After being evaluated by CT and MRI scanning, the tumor was partially resected. Results. Postoperative microscopic examination of the tumor showed adipose cells with mature nuclei and well‐formed fat vacuoles interspersed with fibrovascular septa, a finding consistent with maturing lipoblastoma. Conclusions. Although lipoblastomatous tumors are treated with complete surgical resection when possible, location of these tumors in the neck may dictate partial resection to avoid intraoperative injury to the spinal cord. © 2003 Wiley Periodicals, Inc. Head Neck 25: 337–340, 2003