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Lipomatous Tumors in Pediatric Patients: A Retrospective Analysis of 50 cases
Mine Özşen1, Ulviye Yalçinkaya, Zeynep Yazici
1Department of Pathology, Erzurum Regional Training and Research Hospital, ERZURUM, TURKEY.
Insights
Pediatric lipomatous tumors are rare but diverse, with lipoma and lipoblastoma being most common. Close monitoring is crucial due to potential recurrence and growth, even after treatment.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
- Soft Tissue Tumors
Background:
- Lipomatous tumors are common in adults but rare in pediatric patients, representing less than 10% of soft tissue lesions.
- Limited literature exists on the prevalence and incidence of pediatric lipomatous tumors, necessitating further research.
Purpose of the Study:
- To present a series of pediatric lipomatous tumors including lipoma, neural fibrolipoma, lipoblastoma, atypical lipomatous tumor, myxoid liposarcoma, and pleomorphic liposarcoma.
- To evaluate the clinicopathological characteristics of these pediatric tumors and compare them with existing literature.
Main Methods:
- Retrospective evaluation of pediatric lipomatous tumor cases diagnosed between 2002 and 2018.
- Screening of pathological archives for relevant cases.
Main Results:
- A total of 50 pediatric lipomatous tumor cases were identified.
- Histopathological examination revealed lipoma (52%), lipoblastoma (38%), atypical lipomatous tumor (4%), myxoid liposarcoma (4%), and pleomorphic liposarcoma (2%).
- The age distribution ranged from 1 to 204 months, with a near-equal gender distribution (48% female, 52% male).
Conclusions:
- Pediatric lipomatous tumors are uncommon but exhibit diverse histopathological types.
- These tumors can grow large and cause symptoms through compression, and local recurrences are possible, requiring vigilant follow-up.
- Further studies are needed to establish definitive data on the prevalence and incidence of pediatric lipomatous tumors.
Objective:
Although lipomatous tumors are the most common type of mesenchymal tumors in adults, they account for less than 10% of all soft tissue lesions in pediatric patients. In this descriptive study, we aim to present our series of pediatric lipomatous tumors consisting of lipoma, neural fibrolipoma, lipoblastoma, atypical lipomatous tumor, myxoid liposarcoma and pleomorphic liposarcoma, and to evaluate the clinicopathological characteristics of these tumors in reference to the literature.
Material And Method:
In this study, pediatric lipomatous tumor cases diagnosed between 2002 and 2018 were screened from pathological archives and retrospectively evaluated.
Results:
A total of 50 cases were diagnosed with lipomatous tumor within the mentioned period. Of the total cases, 24 were female (48%) and 26 were male (52%), with age distribution ranging from 1 to 204 months. Histopathological examination revealed lipoma in 26 cases (52%), lipoblastoma in 19 (38%), atypical lipomatous tumor in 2 (4%), myxoid liposarcoma in 2 (4%), and pleomorphic liposarcoma in 1 case (2%).
Conclusion:
Although lipomatous tumors are the most common type of mesenchymal tumors; they rarely occur in children. Since there is a limited number of studies on pediatric lipomatous tumors in the literature, there is insufficient data on the prevalence and incidence of these tumors. These tumors may slowly enlarge to greater sizes, especially those localized in deep tissues, and may cause various clinical symptoms by compressing surrounding tissues. Local recurrences may occur, even after total excision, and require close monitoring.
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