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Giant Cervical Occipital Lipoma: A Case Report
Mohammed Mhand1, Abdelhakim Harouachi2, Tariq Bouhout3,4
1Department of Surgical Oncology, Mohammed VI University Hospital, Régional Oncologue Center, Oujda, MAR.
Cureus
|July 31, 2024
Summary
Giant lipomas are rare benign tumors. This case highlights a large occipital cervical lipoma successfully removed with no recurrence, offering insights into managing rare subcutaneous growths.
Area of Science:
- Oncology
- Dermatology
- Radiology
Background:
- Lipomas are common benign mesenchymal tumors, typically subcutaneous and slow-growing.
- Giant lipomas, particularly in the cervical-occipital region, are exceptionally rare.
- This report details a rare case of a giant occipital cervical lipoma.
Observation:
- A 46-year-old female presented with a 17-year history of a large, painless, mobile occipital cervical mass.
- Clinical examination revealed venous ectasia; imaging (ultrasound, MRI) showed a large subcutaneous fatty tumor.
- Radiological features included T1/T2 hyperintensity and no post-contrast enhancement, consistent with a benign lipoma.
Findings:
- Surgical enucleation was performed under general anesthesia due to the mass's smooth, round, and unattached nature.
- Pathology confirmed a benign adipose tissue tumor, ruling out liposarcoma.
- The patient experienced full recovery without complications and had no issues during a two-year follow-up.
Implications:
- This case underscores the successful surgical management of rare giant cervical lipomas.
- It provides valuable diagnostic imaging characteristics for differentiating benign lipomas from other soft tissue tumors.
- The findings support complete surgical excision as an effective treatment for large, asymptomatic lipomas.

