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Related Experiment Video

Updated: Jun 12, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

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Left supraclavicular spindle cell lipoma.

Oladejo Olaleye1, Bertram Fu, Ram Moorthy

  • 1Department of ENT, William Harvey Hospital, Ashford, Kent TN24 0LZ, UK.

International Journal of Otolaryngology
|May 29, 2010
PubMed
Summary

Spindle cell lipoma (SCL) is a rare benign tumor. Accurate pre-operative diagnosis using imaging and immunohistochemistry is crucial for appropriate management, especially in unusual locations.

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Area of Science:

  • Oncology
  • Pathology
  • Radiology

Background:

  • Spindle cell lipoma (SCL) is a rare benign lipomatous tumor.
  • Typically presents in elderly males on the posterior neck, shoulder, or upper back.
  • Composed of fat, CD34-positive spindle cells, and collagen on a myxoid matrix.

Observation:

  • A 63-year-old male presented with a rapidly enlarging left supraclavicular mass.
  • CT scans revealed a fatty density mass with internal septations, raising suspicion for low-grade liposarcoma.
  • Fine-needle aspiration (FNA) was indeterminate.

Findings:

  • Histopathology confirmed a benign spindle cell lipoma.
  • Immunohistochemistry showed CD34 positivity and negative staining for CDK4 and p16.
  • Excisional biopsy was technically challenging due to brachial plexus involvement.

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Last Updated: Jun 12, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
11:49

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

Published on: April 3, 2026

Implications:

  • Highlights a rare presentation of SCL in the supraclavicular region.
  • Emphasizes the importance of pre-operative diagnosis for SCL management.
  • Successful surgical excision with preservation of neurological function was achieved.