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Scapular osteochondrolipoma: Imaging features with pathological correlation.

Jun Nishio1, Soshi Ideta, Hiroshi Iwasaki

  • 1Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan.

Oncology Letters
|October 19, 2013
PubMed
Summary
This summary is machine-generated.

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This case study details an extremely rare osteochondrolipoma in the scapular region. Surgical excision confirmed the benign nature of this ossified lipoma variant.

Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Radiology

Background:

  • Osteochondrolipoma is a rare lipoma variant characterized by bone and cartilage differentiation.
  • Subcutaneous masses require accurate diagnosis to differentiate benign from malignant conditions.

Purpose of the Study:

  • To report an unusual case of osteochondrolipoma in the left scapular region.
  • To highlight the diagnostic features and successful management of this rare entity.

Main Methods:

  • Clinical examination of a 3-cm hard, non-tender mass.
  • Radiographic imaging including plain radiography, computed tomography (CT), and magnetic resonance imaging (MRI).
  • Surgical marginal excision and histological examination.

Main Results:

Keywords:
magnetic resonance imagingosteochondrolipomapathologyscapula

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  • Imaging revealed a faintly ossified subcutaneous mass without bone erosion.
  • MRI showed a well-circumscribed lesion with specific signal intensities and enhancement patterns.
  • Histology confirmed mature adipocytes, bone trabeculae, hyaline cartilage, and osteoid.

Conclusions:

  • Osteochondrolipoma is a rare diagnosis that should be considered for ossified subcutaneous masses.
  • This case demonstrates the typical presentation and successful surgical outcome.
  • Accurate radiological and histological evaluation is crucial for diagnosis.