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A case report of spindle cell lipoma
Rema AlRashed1, Abdullah Albdah2, Feras Alsannaa3
1General Surgery Resident, Prince Sultan Military Medical City, Saudi Arabia.
Annals of Medicine and Surgery (2012)
|July 21, 2022
Summary
Spindle cell lipoma (SCL) is a rare benign tumor. This case report details the diagnosis and excision of an SCL in a 67-year-old male presenting with neck swelling.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Spindle cell lipoma (SCL) is an uncommon mesenchymal neoplasm.
- SCLs typically occur in middle-aged to older men, often on the neck or upper back.
- Distinguishing SCL from other spindle cell lesions is crucial for appropriate management.
Observation:
- A 67-year-old male patient with multiple comorbidities presented with a neck swelling.
- The swelling was surgically excised for diagnosis and treatment.
- Clinical presentation suggested a localized benign growth.
Findings:
- Pathological examination confirmed the diagnosis of spindle cell lipoma.
- Histological features included mature adipocytes and bland spindle-shaped cells.
- Immunohistochemical analysis may be used to support the diagnosis if needed.
Implications:
- This case highlights the importance of accurate pathological diagnosis for rare tumors like SCL.
- Surgical excision is the standard treatment for symptomatic or diagnosed SCLs.
- Understanding SCL presentation aids in differential diagnosis of neck masses.

