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Giant neck liposarcoma with pathological clavicular fracture
A Coca Pelaz1, F Núñez Batalla, B Vivanco Allende
1Department of Otolaryngology, Hospital Universitario Central de Asturias, c/Celestino Villamil s/n, Oviedo, Asturias, Spain. acocapelaz@yahoo.es
Auris, Nasus, Larynx
|October 27, 2009
Summary
This study details an extremely rare case of well-differentiated liposarcoma in the supraclavicular fossa causing a clavicular fracture. Complete surgical resection was successful, with no recurrence observed eight months post-surgery.
Area of Science:
- Oncology
- Surgical Pathology
- Radiology
Background:
- Liposarcomas are malignant tumors of adipose tissue, typically originating in the extremities or retroperitoneum.
- While rare in the head, neck, and thorax, this case highlights an unusual thoracic presentation.
- Surgical excision remains the primary treatment modality for liposarcomas.
Observation:
- A unique case of a well-differentiated liposarcoma originating in the supraclavicular fossa is presented.
- The tumor was associated with a pathological clavicular fracture, an exceptionally rare complication.
- The lesion presented as a giant mass requiring careful surgical planning.
Findings:
- Complete resection of the giant supraclavicular liposarcoma was achieved.
- The surgical procedure preserved cervical nerve integrity.
- The patient remained disease-free with no recurrence eight months post-operatively.
Implications:
- This case demonstrates the feasibility of complete resection for giant liposarcomas in challenging locations.
- Successful management without morbidity suggests favorable outcomes are possible even with extensive tumors.
- Highlights the importance of considering rare presentations of liposarcoma in differential diagnoses for neck and shoulder masses.
