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Congenital aggressive lipomatosis.

R S Lachman, J Finklestein, C M Mehringer

    Skeletal Radiology
    |January 1, 1983
    PubMed
    Summary
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    Congenital lipomatosis, a rare condition, can affect the thoracic region. This study details its natural history and associated bone and soft tissue changes, noting it is not previously described in radiologic literature.

    Area of Science:

    • Medical imaging
    • Radiology
    • Thoracic surgery

    Background:

    • Congenital lipomatosis is a rare condition characterized by the presence of lipomas at birth.
    • Limited information exists regarding the natural history and specific manifestations of thoracic congenital lipomatosis.

    Observation:

    • Presents three cases of posterior thoracic congenital lipomatosis.
    • Documents natural disease progression and associated osseous and soft tissue alterations.
    • Utilizes angiography to visualize intercostal vascularity supplying the lipomatous tumors.

    Findings:

    • Rib widening and pleural thickening are observed.
    • These changes are hypothesized to result from increased intercostal vascularity feeding the lipomas.
    • This specific presentation of congenital lipomatosis is novel to the radiologic literature.

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    Implications:

    • Highlights the importance of advanced imaging techniques like angiography in understanding congenital lipomatosis.
    • Suggests a potential mechanism for observed bone and soft tissue changes in this condition.
    • Contributes new knowledge to the radiologic understanding of rare congenital tumors.