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Case Report: Congenital infiltrating lipomatosis of face.

Rajeswaran R, Murthy J, Chandrasekharan A, Joseph S - Indian J Radiol Imaging (2008)

Bottom Line: We recently saw an 11-year-old girl with this condition.She presented with a swelling of the right side of the face that had been present since birth; there were typical findings on plain radiographs, CT, and MRI.Histopathological examination showed mature adipocytes without any capsule.

View Article: PubMed Central - PubMed

ABSTRACT
Congenital infiltrating lipomatosis of the face is a rare condition characterized by diffuse fatty infiltration of the facial soft tissues. There may be muscle involvement along with associated bony hyperplasia. It is a type of lipomatous tumor that is congenital in origin; it is rare and seen usually in childhood. We recently saw an 11-year-old girl with this condition. She presented with a swelling of the right side of the face that had been present since birth; there were typical findings on plain radiographs, CT, and MRI. The patient underwent cosmetic surgery. Histopathological examination showed mature adipocytes without any capsule.

No MeSH data available.


Related in: MedlinePlus

Fat-suppressed T1W axial images show hypointensity within the lesion, suggesting presence of fat (arrows)
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Figure 0005: Fat-suppressed T1W axial images show hypointensity within the lesion, suggesting presence of fat (arrows)

Mentions: Subsequent MRI on a 1.5-T scanner showed a nonenhancing, ill-defined, infiltrative, inhomogeneous, hyperintense lesion (isointense to fat) on T1W images in the subcutaneous, muscular, and intermuscular planes of the face and upper neck on the right side [Figures 4A and B]; the lesion appeared isointense to fat on T2W images [Figures 4C and D]. The lesion involved the masticator, parapharyngeal, submandibular, and sublingual spaces on the right side. The tongue and palate on the right side were also mildly hyperintense, suggesting involvement. The lesion was hypointense on fat-suppressed images [Figure 5]. A radiological diagnosis of congenital infiltrating lipomatosis of the face was made.


Case Report: Congenital infiltrating lipomatosis of face.

Rajeswaran R, Murthy J, Chandrasekharan A, Joseph S - Indian J Radiol Imaging (2008)

Fat-suppressed T1W axial images show hypointensity within the lesion, suggesting presence of fat (arrows)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2747453&req=5

Figure 0005: Fat-suppressed T1W axial images show hypointensity within the lesion, suggesting presence of fat (arrows)
Mentions: Subsequent MRI on a 1.5-T scanner showed a nonenhancing, ill-defined, infiltrative, inhomogeneous, hyperintense lesion (isointense to fat) on T1W images in the subcutaneous, muscular, and intermuscular planes of the face and upper neck on the right side [Figures 4A and B]; the lesion appeared isointense to fat on T2W images [Figures 4C and D]. The lesion involved the masticator, parapharyngeal, submandibular, and sublingual spaces on the right side. The tongue and palate on the right side were also mildly hyperintense, suggesting involvement. The lesion was hypointense on fat-suppressed images [Figure 5]. A radiological diagnosis of congenital infiltrating lipomatosis of the face was made.

Bottom Line: We recently saw an 11-year-old girl with this condition.She presented with a swelling of the right side of the face that had been present since birth; there were typical findings on plain radiographs, CT, and MRI.Histopathological examination showed mature adipocytes without any capsule.

View Article: PubMed Central - PubMed

ABSTRACT
Congenital infiltrating lipomatosis of the face is a rare condition characterized by diffuse fatty infiltration of the facial soft tissues. There may be muscle involvement along with associated bony hyperplasia. It is a type of lipomatous tumor that is congenital in origin; it is rare and seen usually in childhood. We recently saw an 11-year-old girl with this condition. She presented with a swelling of the right side of the face that had been present since birth; there were typical findings on plain radiographs, CT, and MRI. The patient underwent cosmetic surgery. Histopathological examination showed mature adipocytes without any capsule.

No MeSH data available.


Related in: MedlinePlus