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Hidden in Muscles: A Case Study of Intramuscular Lipoma
Ashna Nagpal1, Pankaj Gharde1, Pratik S Navandhar1
1General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|July 1, 2024
Summary
A large intramuscular lipoma in a 64-year-old male was successfully removed surgically. This case highlights the importance of considering lipomas in soft tissue mass diagnoses and effective management strategies.
Area of Science:
- Surgical Oncology
- Diagnostic Imaging
- Pathology
Background:
- Intramuscular lipomas are benign tumors that can present as soft tissue masses.
- Giant lipomas, though rare, require careful diagnostic and surgical consideration.
- This report details a case of a large lipoma within the latissimus dorsi muscle.
Observation:
- A 64-year-old male presented with a painless, gradually enlarging mass in the right lumbar region over six years.
- Magnetic resonance imaging (MRI) confirmed a giant intramuscular lipoma.
- The mass was located within the latissimus dorsi muscle.
Findings:
- Surgical excision was performed with meticulous dissection.
- Histopathological examination confirmed the diagnosis of intramuscular lipoma.
- Comparative analysis revealed variations in surgical techniques for similar cases.
Implications:
- This case underscores the necessity of including intramuscular lipomas in the differential diagnosis of soft tissue masses.
- Comprehensive management, including surgical intervention and histopathological validation, is crucial for optimal patient outcomes.
- Understanding variations in surgical approaches aids in managing these rare tumors effectively.

