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Abera MT, Yaynishet YA, Mammo BG, Jiffar AD, Salah FO. Intrathoracic extension of a chest wall Lipoblastoma in an infant: A rare case report. Radiol Case Rep 2024; 19:3076-3079. [PMID: 38770387 PMCID: PMC11103354 DOI: 10.1016/j.radcr.2024.04.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 04/16/2024] [Indexed: 05/22/2024] Open
Abstract
We report the case of a 9-month-old female infant who presented with a history of enlarging chest wall mass secondary to a lipoblastoma with intrathoracic extension. The baby was successfully treated with a surgical resection. Chest wall lipoblastomas with intrathoracic extension are quite uncommon, with few reports available to date.
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Affiliation(s)
| | - Yodit Abraham Yaynishet
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Benyam Goa Mammo
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Amanuel Damie Jiffar
- Addis Ababa University, College of Health Sciences, Department of Pathology, Addis Ababa, Ethiopia
| | - Fathia Omer Salah
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
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Parisi M, Grenda E, Hatziagorou E, Tsikopoulos G, Foroulis CN, Georgopoulou V, Anastasiou A, Tsiviki E, Tsanakas J. Chest wall lipoblastoma in a 3 year-old boy. Respir Med Case Rep 2019; 26:200-202. [PMID: 30723667 PMCID: PMC6350110 DOI: 10.1016/j.rmcr.2019.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2018] [Revised: 01/12/2019] [Accepted: 01/13/2019] [Indexed: 11/26/2022] Open
Abstract
Background Lipoblastoma is a rare, benign, fatty tissue tumor that occurs in infancy and early childhood. The most common tumor locations are the extremities and the torso. The location of this tumor in the chest wall and an intrathoracic extension is uncommon. Case report We present a case of a 3-year-old boy with anterior chest wall lipoblastoma with an intrathoracic extension. Computed tomography was suggestive of lipoblastoma. The mass was completely excised through a right posterolateral thoracotomy. The histologic examination of the lesion confirmed the diagnosis of lipoblastoma. Conclusion Although extremely rare, chest wall lipoblastoma should be included in the differential diagnosis of thoracic mass in childhood.
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Affiliation(s)
- Maria Parisi
- Paediatric Pulmonology Unit, 3rd Paediatric Dept, Aristotle University School of Medicine, Hippokration Hospital, Greece
| | - Efthimia Grenda
- Paediatric Pulmonology Unit, 3rd Paediatric Dept, Aristotle University School of Medicine, Hippokration Hospital, Greece
| | - Elpis Hatziagorou
- Paediatric Pulmonology Unit, 3rd Paediatric Dept, Aristotle University School of Medicine, Hippokration Hospital, Greece
| | - George Tsikopoulos
- Department of Paediatric Surgery, Hippokration Hospital, Thessaloniki, Greece
| | - Christophoros N Foroulis
- Department of Cardiothoracic Surgery, Aristotle University, AHEPA University Hospital, Thessaloniki, Greece
| | | | | | | | - John Tsanakas
- Paediatric Pulmonology Unit, 3rd Paediatric Dept, Aristotle University School of Medicine, Hippokration Hospital, Greece
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Sekgololo JM, Chauke RF, Ramoroko PS, Hossain KM. Intrathoracic lipoblastoma presenting with severe respiratory distress. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Yada K, Ishibashi H, Mori H, Shimada M. Intrascrotal lipoblastoma: report of a case and the review of literature. Surg Case Rep 2016; 2:34. [PMID: 27059472 PMCID: PMC4826361 DOI: 10.1186/s40792-016-0160-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 04/04/2016] [Indexed: 11/10/2022] Open
Abstract
Intrascrotal lipoblastoma is a rare pediatric benign soft tissue neoplasm, and only 11 cases have been reported. The accurate preoperative diagnosis is difficult because of its rarelity and the similarity with the other soft tissue tumors. Among them, accurate preoperative diagnosis had been made in only one case. Thus, almost all of the cases had required inguinal mass excision (and orchidectomy in one case). In this paper, we discuss the accurate preoperative diagnosis of intrascrotal lipoblastoma and subsequent simple tumorectomy via minimal invasive scrotal skin incision, in 1-year-old boy. On physical examination, intrascrotal extra-testicular lobulated mass was palpated on the right scrotum. An ultrasonography revealed the well-circumscribed, iso-echoic, scant blood-flow, and lobulated tumors with each lobules of 1 to 4 cm in diameter, and the tumor located outside of the tunica vaginalis testis. The serum values of alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (b-hCG) were within normal limit. The preoperative diagnosis of intrascrotal lipoblastoma was made, and the mass was excised via minimal scrotal incision. The right testicle and epididymis were normal. The lesion consisted of the distinct two lobulated tumors, and microscopic examination confirmed the diagnosis of intrascrotal lipoblastoma. The postoperative course was uneventful without evidence of recurrence. A rare intrascrotal lipoblastoma is seldom made accurate preoperative diagnosis; however, the accurate preoperative suspicion of this tumor leads to the minimal invasive tumorectomy via scrotal skin incision and favorable postoperative recovery without recurrence.
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Affiliation(s)
- Keigo Yada
- Department of Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan.
| | - Hiroki Ishibashi
- Department of Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan
| | - Hiroki Mori
- Department of Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan
| | - Mitsuo Shimada
- Department of Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan
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Vageriya NL, Patil SS, Kotawala H, Athawale H, Dhende NP, Mane SB. Thoracoscopic excision of a large posterior mediastinal lipoblastoma in a 4 year old girl: Review of literature. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2016. [DOI: 10.1016/j.epsc.2015.11.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Mesenchymal tumours of the mediastinum--part I. Virchows Arch 2015; 467:487-500. [PMID: 26358059 PMCID: PMC4656709 DOI: 10.1007/s00428-015-1830-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 08/06/2015] [Accepted: 08/11/2015] [Indexed: 12/11/2022]
Abstract
The mediastinum is an anatomically defined space in which organs and major blood vessels reside with surrounding soft tissue elements. The thymus is an important organ in the mediastinum, and many of the masses encountered in the mediastinum are related to this organ. Most neoplasms diagnosed in the mediastinum are epithelial tumours (thymomas and thymic carcinomas), lymphomas or germ cell tumours. In contrast, soft tissue tumours of the mediastinum are rare. In 1963, Pachter and Lattes systematically reviewed soft tissue pathology of the mediastinum, covering the hitherto described [2, 226, 227] In this review, based on the 2013 WHO classification of soft tissue tumours and the 2015 WHO classification of tumours of the lung, pleura, thymus and heart, we provide an updated overview of mesenchymal tumours that may be encountered in the mediastinum.
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Ziegler AC, Karplus G, Serour F, Peer M. Huge Mediastinal Lipoblastoma in a Nine Year-old Boy Successfully Removed Surgically. Heart Lung Circ 2015; 24:e101-3. [PMID: 25800538 DOI: 10.1016/j.hlc.2015.02.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Revised: 01/14/2015] [Accepted: 02/22/2015] [Indexed: 10/23/2022]
Abstract
A nine year-old boy presented with symptoms of dyspnoea. The chest radiograph and computed tomography scan revealed a large mediastinal tumour. A decision to operate on the patient was made. A huge 2.45 kg mediastinal lipoblastoma was successfully removed from the boy's chest. At three years no evidence of recurrence was found.
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Affiliation(s)
| | - Gideon Karplus
- Department of Pediatric Surgery, Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Francis Serour
- Department of Pediatric Surgery, Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Michael Peer
- Department of General Thoracic Surgery, Assaf Harofeh Medical Center, Zerifin, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
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Homma T, Doki Y, Senda K, Toge M, Yamamoto Y, Ojima T, Shimada Y, Yoshimura N. Rare lipomatous tumor of the posterior mediastinum in children. European J Pediatr Surg Rep 2015; 2:50-3. [PMID: 25755971 PMCID: PMC4335954 DOI: 10.1055/s-0033-1363776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Accepted: 11/13/2013] [Indexed: 10/27/2022] Open
Abstract
The mediastinum is a unique anatomic area containing various structures and pluripotent cells, which allow for the development of a range of tumors. We report two pediatric cases of a lipomatous tumor of the posterior mediastinum. Complete surgical excision of the mass in each was achieved through a lateral thoracotomy. Histopathologic findings showed a lipoma in one case and a lipoblastoma in the other. A lipomatous tumor in the posterior mediastinum is extremely rare and preoperative diagnosis is difficult. When an operative plan is being considered, the presence of a potentially malignant tumor should be kept in mind.
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Affiliation(s)
- Takahiro Homma
- Division of Thoracic Surgery, Joestu General Hospital, Joetsu, Niigata, Japan
| | - Yoshinori Doki
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
| | - Kazutaka Senda
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
| | - Masayoshi Toge
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
| | - Yutaka Yamamoto
- Division of Thoracic Surgery, Joestu General Hospital, Joetsu, Niigata, Japan
| | - Toshihiro Ojima
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
| | - Yoshifumi Shimada
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
| | - Naoki Yoshimura
- Department of General Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan
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