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Shoulder Lipoblastoma in a 2-Year-Old Boy Case Report and Literature Review
Abdulaziz Adnan Al-Tammar1, Abdullah Al-Faraj1, Wael T Abodief2
1Department of Orthopaedics, Al Razi Hospital, Shuwaikh Area, Kuwait, P.O Box: 4078, 13001, Suffix.
Insights
Lipoblastoma, a rare benign tumor of white fat cells, typically affects young children. This case highlights an unusual shoulder presentation, emphasizing prompt diagnosis and complete surgical excision for favorable outcomes.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
Background:
- Lipoblastoma is a rare benign mesenchymal tumor originating from white fat cells.
- Primarily affecting infants and children under three years old, it commonly presents in the extremities.
Observation:
- This report details an unusual case of lipoblastoma occurring in the left shoulder of a 2-year-old boy.
- The tumor presented as a rapidly growing, asymptomatic mass.
Findings:
- Complete surgical excision with clear margins is the definitive treatment for lipoblastoma.
- Histological and cytogenetic analysis are crucial for confirming the diagnosis and differentiating it from liposarcoma.
Implications:
- Early recognition and suspicion are vital to prevent misdiagnosis of this rare pediatric tumor.
- Accurate diagnosis through pathology is essential for appropriate management and prognosis, distinguishing benign lipoblastoma from malignant liposarcoma.
Introduction:
Lipoblastoma is a rare mesenchymal benign tumor of the white fat cells that affect mostly infants and children below 3 years old. MLipoblastoma can be found in various locations in the body, however, it is usually located in the extremities, lower extremities in particular.
Case Report:
We describe a case of a 2-year-old Middle Eastern boy who has a rare lipoblastoma of his left shoulder that is unusual.
Conclusion:
The most common presentation of this rare tumor is a child younger than 3 years old with asymptomatic, painless, rapidly growing mass that warrants an appropriate index of suspicion to avoid misdiagnosis. Complete excision with free margins is fundamental as a definitive treatment of this benign tumor to eradicate any chance of recurrence or any possible complications including compressive symptoms, magnetic resonance imaging may be helpful in identifying the nature of the mass, however, the diagnosis confirmed postoperatively through histological and cytogenetic analysis. Chromosomal analysis is quite helpful in differentiating lipoblastoma from liposarcoma because they have different management and prognosis.
