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Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso
OBJECTIVE: To report on a case of rare giant anterior cervical lipoma. PATIENTS AND METHODS: This was a 60-year-old male patient received in March 2020 for an anterior cervical swelling in progressive evolution since 20 years. The condition was negatively impacting the patient's quality of life...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MTSI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326778/ https://www.ncbi.nlm.nih.gov/pubmed/35919250 http://dx.doi.org/10.48327/mtsi.v2i2.2022.234 |
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author | KADYOGO, Moussa COMPAORÉ, Dina Alizèta OUÉDRAOGO, Aida Sandrine OUOBA, Joséphine BAYALA, Donald MEDA, Christine N. OUÉDRAOGO, Aimé Sosthène SEREME, Moustapha |
author_facet | KADYOGO, Moussa COMPAORÉ, Dina Alizèta OUÉDRAOGO, Aida Sandrine OUOBA, Joséphine BAYALA, Donald MEDA, Christine N. OUÉDRAOGO, Aimé Sosthène SEREME, Moustapha |
author_sort | KADYOGO, Moussa |
collection | PubMed |
description | OBJECTIVE: To report on a case of rare giant anterior cervical lipoma. PATIENTS AND METHODS: This was a 60-year-old male patient received in March 2020 for an anterior cervical swelling in progressive evolution since 20 years. The condition was negatively impacting the patient's quality of life with a feeling of cervical heaviness, discomfort, head movement limitations, with no sign of compression. Despite this significant discomfort, the patient first consulted several traditional practitioners with different traditional treatments without success, the mass having been taken for a goiter. It is in the face of the failure of traditherapeuts that the patient finally decided to consult in our care structure. RESULTS: Physical examination found a large left paramedian formation which appeared soft, mobile vis-a-vis the two plans, and sensitive; it measured 13 cm on its longer axis, and surrounding skin showed scarifications, witness to previous traditional treatments. Cervical CT eliminated goiter and made it possible to diagnose a giant cervical lipoma. A cervicotomy was performed under general anesthesia with a total one-block excision of an encapsulated mass. The evolution was favorable with a good healing. The histological examination of the mass identified a well-differentiated lipoma. There was no relapse up until 24 months later. CONCLUSION: The giant anterior cervical lipoma is rare. The differential diagnosis is mainly posed with a large goiter or liposarcoma. CT or MRI make it possible to confirm the diagnosis. Its treatment is exclusively surgical and the examination of the operative piece by the pathologist confirms the diagnosis. An extended post-operative monitoring is recommended given the risks of relapse and of malignant degeneration. |
format | Online Article Text |
id | pubmed-9326778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MTSI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93267782022-08-01 Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso KADYOGO, Moussa COMPAORÉ, Dina Alizèta OUÉDRAOGO, Aida Sandrine OUOBA, Joséphine BAYALA, Donald MEDA, Christine N. OUÉDRAOGO, Aimé Sosthène SEREME, Moustapha Med Trop Sante Int Clinique OBJECTIVE: To report on a case of rare giant anterior cervical lipoma. PATIENTS AND METHODS: This was a 60-year-old male patient received in March 2020 for an anterior cervical swelling in progressive evolution since 20 years. The condition was negatively impacting the patient's quality of life with a feeling of cervical heaviness, discomfort, head movement limitations, with no sign of compression. Despite this significant discomfort, the patient first consulted several traditional practitioners with different traditional treatments without success, the mass having been taken for a goiter. It is in the face of the failure of traditherapeuts that the patient finally decided to consult in our care structure. RESULTS: Physical examination found a large left paramedian formation which appeared soft, mobile vis-a-vis the two plans, and sensitive; it measured 13 cm on its longer axis, and surrounding skin showed scarifications, witness to previous traditional treatments. Cervical CT eliminated goiter and made it possible to diagnose a giant cervical lipoma. A cervicotomy was performed under general anesthesia with a total one-block excision of an encapsulated mass. The evolution was favorable with a good healing. The histological examination of the mass identified a well-differentiated lipoma. There was no relapse up until 24 months later. CONCLUSION: The giant anterior cervical lipoma is rare. The differential diagnosis is mainly posed with a large goiter or liposarcoma. CT or MRI make it possible to confirm the diagnosis. Its treatment is exclusively surgical and the examination of the operative piece by the pathologist confirms the diagnosis. An extended post-operative monitoring is recommended given the risks of relapse and of malignant degeneration. MTSI 2022-05-19 /pmc/articles/PMC9326778/ /pubmed/35919250 http://dx.doi.org/10.48327/mtsi.v2i2.2022.234 Text en Copyright © 2022 SFMTSI https://creativecommons.org/licenses/by/4.0/Cet article en libre accès est distribué selon les termes de la licence Creative Commons CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Clinique KADYOGO, Moussa COMPAORÉ, Dina Alizèta OUÉDRAOGO, Aida Sandrine OUOBA, Joséphine BAYALA, Donald MEDA, Christine N. OUÉDRAOGO, Aimé Sosthène SEREME, Moustapha Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title | Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title_full | Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title_fullStr | Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title_full_unstemmed | Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title_short | Lipome cervical géant : À propos d'un cas à Ouagadougou, Burkina Faso |
title_sort | lipome cervical géant : à propos d'un cas à ouagadougou, burkina faso |
topic | Clinique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326778/ https://www.ncbi.nlm.nih.gov/pubmed/35919250 http://dx.doi.org/10.48327/mtsi.v2i2.2022.234 |
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