Giant lipoma of breast-a diagnostic dilemma

Authors

  • D. J. Balsarkar Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India
  • Sachin A. Suryawanshi Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India
  • Muna Shaikh Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India
  • Sudhir Dhobale Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20210398

Keywords:

Breast lipoma, Giant lipoma, Phyllodes tumor

Abstract

Lipoma is the most common benign tumor of adipose tissue. Giant lipoma of breast is very rare.Majority of them are small in size, slow growing and asymptomatic until they reach large size. Most patients seek medical advice due to asymmetry in the breast and due to fear of malignancy. Breast lipomas pose a diagnostic challenge due to similarity of their texture to normal breast parenchyma and make it difficult to distinguish from other common breast lesions. The clinical and radiographic identification of breast lipoma remains challenging. Complete surgical excision with the capsule is essential to prevent recurrence. Breast reconstruction may require, to prevent asymmetry following surgical excision of giant breast lipoma. High degree of clinical suspicion and histolopathological correlation will help in preopertaive diagnosis of this clinical condition. Here, we report a case 50- year -old woman with left breast lump which clinically, radiologically and on fine needle aspiration cytology was diagnosed as phyllodes tumor, but after surgical excision it was reported as breast lipoma on final histopathology.

Author Biographies

D. J. Balsarkar, Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India

professor, department of General surgery.

Sachin A. Suryawanshi, Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India

Assistant professor, department of General Surgery

Muna Shaikh, Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India

Senior Resident, Department of General Surgery

Sudhir Dhobale, Department of General Surgery, T. N. Medical College, Mumbai, Maharashtra, India

Senior Resident, Department of General Surgery

References

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Published

2021-01-29

Issue

Section

Case Reports