CME Rheumatolgoy 19/Answers: Multiple Schwannomas or Lipomas?
[CME Rheumatolgoy 19/Answers: Multiple Schwannomas or Lipomas?] Praxis (Bern 1994). 2019;108(7):505-508 Authors: Tamborrini G, Bally K, Mengiardi B, Bauer M, Gohritz A, Frank S, Hench J PMID: 31495259 [PubMed - in process]
CONCLUSIONS: Currently, there is no evidence-based recommendation available regarding the management of lipomas detected during open or laparoscopic inguinal hernia surgery. Due to the extremely low risk of the presence of a liposarcoma routine histologic examination cannot be recommended unless the diameter exceeds 10 cm. PMID: 31690184 [PubMed - as supplied by publisher]
Publication date: Available online 6 November 2019Source: Multiple Sclerosis and Related DisordersAuthor(s): Thomas Mengesha, Natalie Squires, John Oas, Jaime ImitolaAbstractIntracranial lipomas are congenital malformations representing less than 0.5% of intracranial tumors. They are found incidentally and are asymptomatic in the majority of patients. Here we present three patients with Multiple sclerosis (MS) and intracranial lipomas (IL). The patients showed increased flares and burden of disabling and worsening MS symptoms with cognitive, neurovestibular dysfunction, and gait alterations associated with the localization...
Among primary cardiac tumors, atypical lipoma is very rare. In particular, cases with lipomas in both the pericardium and the atria are even rare.
Publication date: November 2019Source: Journal of the American College of Radiology, Volume 16, Issue 11, SupplementAuthor(s): Expert Panel on Gastrointestinal Imaging, Kathryn J. Fowler, Evelyn M. Garcia, David H. Kim, Brooks D. Cash, Kevin J. Chang, Barry W. Feig, Kenneth L. Gage, Avinash R. Kambadakone, Angela D. Levy, Peter S. Liu, Daniele Marin, Courtney Moreno, Christine M. Peterson, Jason A. Pietryga, Martin P. Smith, Laura R. CarucciAbstractPalpable abdominal masses may arise from the abdominal cavity or the abdominal wall. The differential diagnosis is broad for each variant ranging from benign lipomas, inflammato...
Lipoma involving multiple fascial spaces is extremely rare and poses a challenge to surgeons using less invasive procedures. Although blunt dissection using a finger is often used in excisional surgeries as a supplementary maneuver, few cases have been described using the bimanual technique for the removal of these extensive lesions. Herein, the authors present a large lipoma of the oral floor extending to the unilateral submandibular and parapharyngeal spaces, which was excised only via a submandibular approach using the “push–pull down” maneuver, blunt finger dissection of the tumor with counter-pushin...
Palpable abdominal masses may arise from the abdominal cavity or the abdominal wall. The differential diagnosis is broad for each variant ranging from benign lipomas, inflammatory processes, to malignant tumors. The imaging approach to diagnosis varies by location. For intra-abdominal masses, contrast-enhanced CT and ultrasound examination have demonstrated accuracy. For abdominal wall masses, which may arise from muscle, subcutaneous tissue, or connective tissue, MRI, CT, and ultrasound all provide diagnostic value.
A 43-year-old female, gravida 3, para 2, presented with a right vulvar bulge, which progressively enlarged for 8 months (Fig. 1A). It contained a painless, soft, and movable mass, akin to a subcutaneous cyst or superficial lipoma. However, Magnetic Resonance Imaging (MRI) revealed a bulky soft-tissue mass extending deep from the paracervical region to the labia major (Fig. 1B). An operation was performed through a vaginal approach with a longitudinal incision made medial to the right labia minor and dissection deep alongside the right paracervical space to excise the tumor en bloc (Fig.
Conclusion: Myoid hamartoma of the breast may be pathogenetically related to benign connective tissue tumors with HMGA2 rearrangements, such as pulmonary hamartomas, lipomas, myolipomas, and leiomyomas.
CONCLUSIONS: Intramuscular lipoma is a relatively uncommon tumour, especially in the forearm. Because of the proximity to the neurovascular structures in the forearm, excision of lipomas should be performed with care and include wide incisions. Additionally, knowing the anatomical features of the compartment where the lipoma is localised in the forearm is important in planning surgery to enable easier dissection of the lipoma and lessen the risk of damage to adjacent neurovascular structures. LEVEL OF EVIDENCE: Level 4. PMID: 31648352 [PubMed - as supplied by publisher]
ConclusionAlthough PDL is a benign condition, in most of the time, it needs aggressive management because of the possibility of malignancy or other critical diseases.