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A Giant Lipoblastoma in a 13-month-old Girl: A Case Report

Received: 14 February 2022    Accepted: 11 October 2022    Published: 28 October 2022
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Abstract

Lipoblastoma is a relatively rare benign soft tissue tumor. It most often occurs in the small child, less than 3 years old. There is a male predominance with a sex ratio of 3/1. Lipoblastoma usually present as a rapidly growing mass most often located in the trunk and extremities. It is extremely rare on the head and neck. Usually, this tumor is asymptomatic, but it can become so due to its size and location. The contribution of imaging is essential in the diagnostic approach of this tumor. Essentially, MRI confirms the fatty nature of the tumor and the heterogeneous aspect in relation to the enhancement of the fibrovascular septa. However, the definitive diagnosis is histopathological through a surgical biopsy, which eliminates a malignant tumor at the same time. The treatment of choice is complete surgical resection of the tumor. No malignant degeneration has been documented while a high recurrence rate has been described and is usually correlated to the diffuse-type lesions (lipoblastomatosis) and to incomplete excision. We report the case of a 13-month-old girl presented with a swelling of the left buttock that had been evolving for 4 months, with a very significant increase in size during the last month. The diagnosis of lipoblastoma was suspected clinically and on radiological explorations. This diagnosis confirmed histologically. The treatment was surgical. It consisted in a total resection of the mass. The postoperative evolution was simple with a current follow-up of one year.

Published in Journal of Surgery (Volume 10, Issue 5)
DOI 10.11648/j.js.20221005.17
Page(s) 180-183
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Lipoblastoma, Giant Tumor, Infant, Surgery

References
[1] Jaffe RH. Recurrent lipomatous tumor of the groin: liposarcoma and lipoma pseudomixomatodes. AMA Arch Pathol 1926; 1: 381-7.
[2] Aea Tommaso. Lipoblastoma in infant: our experience. J Pediatric Surg Case Rep, 3 (2015), pp. 63-64.
[3] Austin Lunney, Karla Leal, John Fitzwater."Supraclavicular lipoblastoma", J Pediatric Surg Case Rep, 41 (2019), pp 24-26.
[4] Al-Salem A H, Al-Nazer M. Mesenteric lipoblastoma in a 2- year-old child. Pediatric Surg Int. 2003; 19 (1-2): 115-7. PubMed | Google Schola.
[5] Besouw MT, Verlinde PF, Uyttebroeck AM, Renard MM. Lipoblastoma and lipoblastomatosis: especially in children. Ned Tijdschr Geneeskd. 2011; 155 (33): A3467.
[6] Kriaa S, Moussa A, Nouri A et al. Lipoblastoma omental: à propos d'un cas. J Radiol. 2005; 86: 1808-9. PubMed | Google Scholar.
[7] Kerkeni Y, Sahnoun L, Ksia A et al. Lipoblastoma in childhood: about 10 cases. Afr J Paediatr Surg. 2014; 11 (1): 32–4.
[8] Nguyen S, Pham A, Brian Poirier B et al. Pediatric lipoblastoma in the head and neck: a systematic review of 48 reported cases. International Journal of Pediatric Otorhinolaryngology. 2010; 74 (7): 723-728. PubMed | Google Scholar.
[9] Yada K, Ishibashi H, Mori H, Shimada M. Intrascrotal lipoblastoma: report of a case and the review of literature. Surg Case Rep. 2016 Dec; 2 (1): 34. PubMed | Google Scholar.
[10] Mognato G, Cecchetto G, Carli M et al. Is Surgical Treatment of lipoblastoma always necessary? J Pediatr Surg. 2000; 35 (10): 1511-13. PubMed | Google Schola.
[11] Fallon SC, Brandt ML, Rodriguez JR, et al. Cytogenetic analysis in the diagnosis and management of lipoblastomas: result from a single institution. J Surg Res 2013; 184 (1): 341- 6.
[12] Adnani A, Chellaoui M, Chat L et Dafiri. Aspect inhabituel d'un lipoblastome axillaire chez un nourrisson. J Radiol. 2005; 86 (9): 1043-5. PubMed | Google Scholar.
[13] Susam-Sen H, Yalcin B, Kutluk T, et al. Lipoblastoma in children: review of 12 cases. Pediatr Int. 2017; 59 (5): 545–50.
[14] Nam-Yong Do, Sung-Il Cho, Jun Hee Park et al. Lipoblastoma arising from the submandibular region. Journal of Pediatric Surgery. 2008; 43 (11): E13-E15. PubMed | Google Scholar.
[15] Abdul Ghafar J, Ahmad Z, Tariq MU, Naila Kayani N and Uddin N. Lipoblastoma: a Clinicopathologic review of 23 cases from a major tertiary care center plus detailed review of literature. BMC Res Notes (2018) 11: 42.
Cite This Article
  • APA Style

    Maamatou Wafa, Trabelsi Fatma, Jarray Leila, Daib Aida, Ben Abdallah Rabiaa, et al. (2022). A Giant Lipoblastoma in a 13-month-old Girl: A Case Report. Journal of Surgery, 10(5), 180-183. https://doi.org/10.11648/j.js.20221005.17

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    ACS Style

    Maamatou Wafa; Trabelsi Fatma; Jarray Leila; Daib Aida; Ben Abdallah Rabiaa, et al. A Giant Lipoblastoma in a 13-month-old Girl: A Case Report. J. Surg. 2022, 10(5), 180-183. doi: 10.11648/j.js.20221005.17

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    AMA Style

    Maamatou Wafa, Trabelsi Fatma, Jarray Leila, Daib Aida, Ben Abdallah Rabiaa, et al. A Giant Lipoblastoma in a 13-month-old Girl: A Case Report. J Surg. 2022;10(5):180-183. doi: 10.11648/j.js.20221005.17

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  • @article{10.11648/j.js.20221005.17,
      author = {Maamatou Wafa and Trabelsi Fatma and Jarray Leila and Daib Aida and Ben Abdallah Rabiaa and Jabloun Asma and Hellel Youssef and Gharbi Youssef and Kaabar Nejieb},
      title = {A Giant Lipoblastoma in a 13-month-old Girl: A Case Report},
      journal = {Journal of Surgery},
      volume = {10},
      number = {5},
      pages = {180-183},
      doi = {10.11648/j.js.20221005.17},
      url = {https://doi.org/10.11648/j.js.20221005.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.17},
      abstract = {Lipoblastoma is a relatively rare benign soft tissue tumor. It most often occurs in the small child, less than 3 years old. There is a male predominance with a sex ratio of 3/1. Lipoblastoma usually present as a rapidly growing mass most often located in the trunk and extremities. It is extremely rare on the head and neck. Usually, this tumor is asymptomatic, but it can become so due to its size and location. The contribution of imaging is essential in the diagnostic approach of this tumor. Essentially, MRI confirms the fatty nature of the tumor and the heterogeneous aspect in relation to the enhancement of the fibrovascular septa. However, the definitive diagnosis is histopathological through a surgical biopsy, which eliminates a malignant tumor at the same time. The treatment of choice is complete surgical resection of the tumor. No malignant degeneration has been documented while a high recurrence rate has been described and is usually correlated to the diffuse-type lesions (lipoblastomatosis) and to incomplete excision. We report the case of a 13-month-old girl presented with a swelling of the left buttock that had been evolving for 4 months, with a very significant increase in size during the last month. The diagnosis of lipoblastoma was suspected clinically and on radiological explorations. This diagnosis confirmed histologically. The treatment was surgical. It consisted in a total resection of the mass. The postoperative evolution was simple with a current follow-up of one year.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - A Giant Lipoblastoma in a 13-month-old Girl: A Case Report
    AU  - Maamatou Wafa
    AU  - Trabelsi Fatma
    AU  - Jarray Leila
    AU  - Daib Aida
    AU  - Ben Abdallah Rabiaa
    AU  - Jabloun Asma
    AU  - Hellel Youssef
    AU  - Gharbi Youssef
    AU  - Kaabar Nejieb
    Y1  - 2022/10/28
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221005.17
    DO  - 10.11648/j.js.20221005.17
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 180
    EP  - 183
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221005.17
    AB  - Lipoblastoma is a relatively rare benign soft tissue tumor. It most often occurs in the small child, less than 3 years old. There is a male predominance with a sex ratio of 3/1. Lipoblastoma usually present as a rapidly growing mass most often located in the trunk and extremities. It is extremely rare on the head and neck. Usually, this tumor is asymptomatic, but it can become so due to its size and location. The contribution of imaging is essential in the diagnostic approach of this tumor. Essentially, MRI confirms the fatty nature of the tumor and the heterogeneous aspect in relation to the enhancement of the fibrovascular septa. However, the definitive diagnosis is histopathological through a surgical biopsy, which eliminates a malignant tumor at the same time. The treatment of choice is complete surgical resection of the tumor. No malignant degeneration has been documented while a high recurrence rate has been described and is usually correlated to the diffuse-type lesions (lipoblastomatosis) and to incomplete excision. We report the case of a 13-month-old girl presented with a swelling of the left buttock that had been evolving for 4 months, with a very significant increase in size during the last month. The diagnosis of lipoblastoma was suspected clinically and on radiological explorations. This diagnosis confirmed histologically. The treatment was surgical. It consisted in a total resection of the mass. The postoperative evolution was simple with a current follow-up of one year.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

  • Paediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia

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