Treatment of Beign Multiple Symmetrical Lipomatosis with Liposuction.

Huh, Chul; Lim, So Young; Mun, Goo Hyun; Hyon, Won Sok; Bang, Sa Ik; Oh, Kap Sung

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(6):769-772.
Published online November 1, 2006.

Treatment of Beign Multiple Symmetrical Lipomatosis with Liposuction.

Chul Huh, So Young Lim, Goo Hyun Mun, Won Sok Hyon, Sa Ik Bang, Kap Sung Oh

Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. sy72.lim@samsung.com

Abstract

PURPOSE
Benign symmetrical lipomatosis(Madelung's disease) is a disease of uncertain etiology that manifests as massive lipomatous deposits in specific area of the body. It is usually located on the neck, shoulder, proximal regions of the extremities and the abdomen. Madelung's disease is found many in middle-aged, Mediterranean man. Imaging using either computed tomography or magnetic resonance imaging is often recommended. Dietary restriction provides no relief of disease. Abstinence with alcohol may delay further progression but does not regression tumor mass. The objective of this study is to prove effectiveness of liposuction for treatment of benign lipomatosis. METHODS: We conducted liposuction as a treatment for benign lipomatosis. After general anesthesia, We conducted power assisted liposuction and amount of suctioned volume was about 2500 cc. After surgery, we did compressive dressing and then followed by pressure garment.
RESULTS
Six months after surgery, patient was examined for follow up at outpatient department. Recurred lipoma was not observated. Patient was satisfied with result.
CONCLUSION
The only effective therapy for Madelung's disease is surgical removal but recurrence could be occurring. Also multiple surgical scars will be visible. We report a patient with multiple large lipomatosis successfully treated with liposuction.

Keywords: Lipomatosis; Madelung's disease; Liposuction