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Congenital infiltrating lipomatosis of the face: a case report.

Mahadevappa A, Raghavan VH, Ravishankar S, Manjunath GV - Case Rep Pediatr (2012)

Bottom Line: Congenital infiltrating lipomatosis of the face is a rare lesion that comprises a subgroup of lipomatous tumor-like lesions of infancy and childhood.It is characterized by (1) no encapsulation, (2) diffuse infiltration of mature adipose tissue over normal muscle fiber and surrounding structures of face, (3) osseous hyperplasia of subjacent bone, and (4) a high recurrence rate.We report a case of a nine-month-old infant who presented with swelling over right face since birth.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, JSS Medical College, JSS University, Mysore 570 015, Karnataka, India.

ABSTRACT
Congenital infiltrating lipomatosis of the face is a rare lesion that comprises a subgroup of lipomatous tumor-like lesions of infancy and childhood. It is characterized by (1) no encapsulation, (2) diffuse infiltration of mature adipose tissue over normal muscle fiber and surrounding structures of face, (3) osseous hyperplasia of subjacent bone, and (4) a high recurrence rate. We report a case of a nine-month-old infant who presented with swelling over right face since birth. Early diagnosis of this lesion provides better surgical approach to control the infiltrative nature of its growth with recurrence and aesthetic appearance.

No MeSH data available.


Related in: MedlinePlus

Nonencapsulated, mature adipose tissue infiltrating salivary gland tissue. (H and E, 100x).
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fig3: Nonencapsulated, mature adipose tissue infiltrating salivary gland tissue. (H and E, 100x).

Mentions: Grossly the specimen measured 8 × 7 cms and showed yellowish white adipose tissue with grey-white areas (Figure 2). Microscopic examination showed nonencapsulated lesion containing mature adipose tissue in lobules. Diffuse infiltration of salivary gland tissue, nerve fibers, skeletal muscle fibers and lymphoid tissue were seen (Figure 3). Presence of fibrous tissue and vessels with thickened wall was noted (Figure 4). Extensive examination showed no nuclear atypia or lipoblasts. A diagnosis of CIL-F was confirmed. The postoperative course was uneventful. There was no facial nerve injury. In the case described postoperative followup for two years has not shown any recurrence. However, patient has been advised for regular followup.


Congenital infiltrating lipomatosis of the face: a case report.

Mahadevappa A, Raghavan VH, Ravishankar S, Manjunath GV - Case Rep Pediatr (2012)

Nonencapsulated, mature adipose tissue infiltrating salivary gland tissue. (H and E, 100x).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3350143&req=5

fig3: Nonencapsulated, mature adipose tissue infiltrating salivary gland tissue. (H and E, 100x).
Mentions: Grossly the specimen measured 8 × 7 cms and showed yellowish white adipose tissue with grey-white areas (Figure 2). Microscopic examination showed nonencapsulated lesion containing mature adipose tissue in lobules. Diffuse infiltration of salivary gland tissue, nerve fibers, skeletal muscle fibers and lymphoid tissue were seen (Figure 3). Presence of fibrous tissue and vessels with thickened wall was noted (Figure 4). Extensive examination showed no nuclear atypia or lipoblasts. A diagnosis of CIL-F was confirmed. The postoperative course was uneventful. There was no facial nerve injury. In the case described postoperative followup for two years has not shown any recurrence. However, patient has been advised for regular followup.

Bottom Line: Congenital infiltrating lipomatosis of the face is a rare lesion that comprises a subgroup of lipomatous tumor-like lesions of infancy and childhood.It is characterized by (1) no encapsulation, (2) diffuse infiltration of mature adipose tissue over normal muscle fiber and surrounding structures of face, (3) osseous hyperplasia of subjacent bone, and (4) a high recurrence rate.We report a case of a nine-month-old infant who presented with swelling over right face since birth.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, JSS Medical College, JSS University, Mysore 570 015, Karnataka, India.

ABSTRACT
Congenital infiltrating lipomatosis of the face is a rare lesion that comprises a subgroup of lipomatous tumor-like lesions of infancy and childhood. It is characterized by (1) no encapsulation, (2) diffuse infiltration of mature adipose tissue over normal muscle fiber and surrounding structures of face, (3) osseous hyperplasia of subjacent bone, and (4) a high recurrence rate. We report a case of a nine-month-old infant who presented with swelling over right face since birth. Early diagnosis of this lesion provides better surgical approach to control the infiltrative nature of its growth with recurrence and aesthetic appearance.

No MeSH data available.


Related in: MedlinePlus