Massive osteolipoma of the skull

Osteolipoma is a very rare condition, and only a few cases affecting the head were found in the literature. None can be compared with the giant lesion of the side of the head developing in the left temporo-parietal region of an 8-year-old boy from Central Africa. Under a huge lipoma, an irregular bony mass was found. Contouring resection was performed with an uneventful recovery. Technique and pathology are discussed.