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Giant breast lipoma: A case report.

Fatima E L Hassouni1, Amal Benchine1, Salma Marrakchi2

  • 1Department of Obstetrics and Gynecology, Oncology and High-Risk Pregnancies, Maternity Hospital Souissi, Ibn Sina University Hospital, Rabat, Morocco; Mohamed V University, Rabat, Morocco.

International Journal of Surgery Case Reports
|May 30, 2024
PubMed
Summary

Giant breast lipomas are rare, fast-growing benign tumors that can mimic malignancy. Accurate diagnosis through imaging is key to avoid overtreatment and ensure proper management of these large lipomatous breast masses.

Keywords:
A case reportBreast neoplasmsGiant breast lipomaLiposuctionMammographySurgical excision

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Area of Science:

  • Breast oncology
  • Surgical pathology
  • Diagnostic imaging

Background:

  • Lipomas are common benign adipose tissue tumors.
  • Giant breast lipomas are defined as >10 cm and >1000 g.
  • Rapidly growing breast lipomas can resemble malignant tumors, necessitating accurate diagnosis.

Observation:

  • A 48-year-old female presented with a large, rapidly growing, painless right breast mass.
  • Initial evaluation suggested a benign lipomatous tumor, including lipoma, fibroadenolipoma, adenolipoma, angiolipoma, or fatty hamartoma.
  • Surgical excision was performed, with histopathology confirming a giant breast lipoma.

Findings:

  • Giant breast lipomas are rare benign breast neoplasms.
  • These tumors can present diagnostic challenges due to their potential to mimic various breast pathologies, including malignancies.
  • Histological examination is crucial for definitive diagnosis.

Implications:

  • Improved understanding and imaging-based diagnosis of giant breast lipomas can prevent unnecessary invasive procedures.
  • Surgical excision is the standard treatment for giant breast lipomas to prevent recurrence.
  • Accurate differentiation from malignant conditions is vital for appropriate patient management and avoiding overtreatment.