Журнал клинических случаев

Giant Soft Arm Tumor: Clinic Images and Therapeutic Considerations

Abstract

G Statescu, Maria Statescu*, A Scripcaru, AH Nedelcu and Ana Statescu

Introduction: Lipoma can grow on any part of the body but it is often found on the neck, shoulders, upper limbs, as well as on the thigh. Lipoma is considered a benign growth or tumor of the adipose tissue. It does not have a known cause however it is likely related to a genetical issue in people with multiple lipomas.

Materials and methods: We have chosen to detail the rare case of a 57 year-old man from personal case records. He presented for consultation with a large tumor formation located on the right arm posteriorly that progressively increased in size to an apparent diameter of about 30 cm over a period of 5 years.The local examination revealed a large lipoma of approximately 32-30-26 cm with uncertain clinical features of malignancy.

Results: Local anaesthesia proved to be enough for the surgery to be successful. We have arranged follow-up for the patient at 3, 6 and 12 months.

Discussion points: In the case of large tumors it is necessary to have a multidisciplinary approach, involving teams from surgery, histopathology and potentially oncology. The Golden Standard indication for these cases is the surgical excision of the tumor within safe margins to decrease the risk of recurring malignancy.

Conclusion: Surgical excision needs to be wide enough to ensure safe margins are achieved even for a benign-looking tumor and it is mandatory for pieces to be sent to histopathology laboratory for examination. pectively to ensure the wound was healing well and monitor for reappearance.