Clinical Considerations of Gigantic Lipoma.

Son, Hee Dong; Kim, Jeong Tae; Park, Si Hyun; Kim, Seok Kwun

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(2):179-183.
Published online March 1, 2001.

Clinical Considerations of Gigantic Lipoma.

Hee Dong Son, Jeong Tae Kim, Si Hyun Park, Seok Kwun Kim

Department of Plastic & Reconstructive Surgery, College of Medicine Dong-A University.

Abstract

The gigantic lipoma could be categorized into subcutaneous and subfascial type. We experienced eight cases from seven patients. Five cases of them were proved to be subcutaneous gigantic lipomas, and three cases were proved to be subfascial gigantic lipomas. Among the subcutaneous type, three cases of liposarcomas were confirmed by final biopsy results. And three cases of recurrences were shown. Among the subfascial type, one case of chondrolipoma was confirmed by final biopsy result and no recurrence was not found. In brief, subcutaneous and subfascial gigantic lipoma had a specific characteristics as followings: Subcutaneous type showed asymptomatic mass with bulging, multilobulated and poorly marginated. And it was difficult for complete removal with a high recurrence rate. Radical excision and liposuction recommended for its treatment. On the other hand, subfascial type showed diffuse expansion, late onset of symptom. And it was readiness for complete removal with no recurrence after complete excision.

Keywords: Lipoma; Gigantic