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Cervicothoracic lipoma in a child: A case report
Garett L Ozmer1, Jaclyn R Dempsey2, Nikhil R Shah2
1John Sealy School of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Journal of Pediatric Surgery Case Reports
|June 19, 2025
Summary
This case highlights a rare pediatric lipoma in a young child, emphasizing that even benign tumors can involve critical structures. Successful surgical resection was achieved with careful planning and a single cervical incision.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Diagnostic Imaging
Background:
- Lipomas are common, slow-growing tumors, typically affecting adults.
- Pediatric lipomas are less common and can present challenges due to potential involvement of vital structures.
Purpose of the Study:
- To report a case of a large pediatric lipoma in the cervicothoracic region.
- To illustrate the surgical management and successful outcome.
Main Methods:
- A 2-year-old female with congenital albinism presented with a neck mass.
- MRI was used for lesion characterization and surgical planning.
- Complete surgical resection was performed via a single cervical incision.
Main Results:
- A large lipoma (9 × 6.5 × 5 cm) involving the thoracic inlet was resected.
- The mass adhered to critical structures including the brachial plexus and carotid sheath.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day one.
Conclusions:
- Lipomas, despite being benign, can infiltrate adjacent critical structures, especially in pediatric cervicothoracic cases.
- Meticulous surgical planning with cross-sectional imaging enables complete resection via a single cervical incision with minimal morbidity.
