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Pure intramuscular osteolipoma.

Jin Seo Yang1, Suk Hyung Kang1, Yong Jun Cho1

  • 1Department of Neurosurgery, Spine Center, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.

Journal of Korean Neurosurgical Society
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Summary

Osteolipomas, a rare variant of lipoma with bone formation, can occur in the nuchal ligament. This case highlights the importance of considering osteolipoma in posterior neck masses with bony components.

Keywords:
LipomaLipomatous tumorOssified lipomaOssifying lipomaOsteolipoma

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Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Radiology

Background:

  • Osteolipomas are rare lipomas characterized by osseous metaplasia.
  • They present with a prominent bony component within the fatty tumor.

Observation:

  • A 51-year-old female presented with a 5-year history of a painless, growing posterior neck mass.
  • Imaging revealed a circumscribed mass with both fatty and calcified components between C2-C6 spinous processes.
  • The mass was located on the nuchal ligament, independent of underlying bone.

Findings:

  • Histological confirmation of osteolipoma.
  • Complete surgical excision of the dual-component mass.
  • No recurrence observed at 6-month follow-up.

Implications:

  • Osteolipoma should be considered in the differential diagnosis of posterior neck masses with mixed fatty and bony features.
  • This case expands the known locations for osteolipoma.
  • Early diagnosis and complete resection are crucial for favorable outcomes.