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Published on: November 20, 2015
A case of maturing perineal lipoblastoma in an infant
Dimitris Antoniou1, Michael Soutis, George Christopoulos-Geroulanos
1Department of Pediatric Surgery, Aghia Sophia Children's Hospital, Athens, Greece. dcantoniou@hotmail.com
Insights
A rare perineal lipoblastoma, a benign fatty tumor, presented as a painless mass in an infant. Surgical removal was successful, with no recurrence, highlighting its importance in infant differential diagnoses.
Area of Science:
- Pediatric Surgery
- Surgical Pathology
- Pediatric Oncology
Background:
- Lipoblastomas are rare, benign tumors of immature fat cells, typically occurring in infants and young children.
- Perineal lipoblastomas are exceptionally uncommon, posing diagnostic challenges due to their location and presentation.
Observation:
- A 7-month-old boy presented with a 6-month history of a painless, progressively enlarging perineal mass.
- Initial imaging studies were inconclusive in determining the nature of the mass.
- The mass was completely resected, with no evidence of recurrence at 18 months post-surgery.
Findings:
- Histopathologic examination confirmed the diagnosis of a maturing perineal lipoblastoma.
- The tumor exhibited characteristics of benign fatty tissue with mature adipocytes.
Implications:
- This case underscores the importance of considering perineal lipoblastoma in the differential diagnosis of infant perineal masses.
- Pediatric surgeons should be aware of this rare entity to ensure timely and accurate diagnosis and management.
- Early detection and complete resection are crucial for favorable outcomes and preventing potential complications.
Objective:
To report the unusual occurrence of a perineal lipoblastoma presenting as a painless enlarging mass in an infant.
Case Presentation And Intervention:
A 7-month-old boy presented with a 6-month history of an asymptomatic progressively enlarging perineal mass. Imaging studies were unable to provide a diagnosis. Complete resection of the mass was achieved and there was no recurrence at 18-month follow-up. Histopathologic findings were consistent with a maturing perineal lipoblastoma.
Conclusion:
This case report serves as a reminder to physicians and especially pediatric surgeons to consider perineal lipoblastoma in the differential diagnosis of soft tissue perineal masses in infancy.
