A case report unveiling spindle cell lipoma

Q4 Medicine

Radiology Case Reports Pub Date : 2025-03-28 DOI:10.1016/j.radcr.2025.03.009

Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh Hanuman Parihar MD , Paritosh Bhangale MBBS , Anjali Kumari MBBS , Rishitha Kotla MBBS

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Abstract

Spindle cell lipoma (SCL) represents an infrequent subtype of lipoma distinguished by its distinctive histopathological characteristics and tendency to localize in the subcutaneous tissues of the upper back, neck, and shoulder regions. In this report, we describe an unusual instance of SCL manifesting in the cervical area of a 62-year-old female individual. The patient exhibited a progressively enlarging painless mass situated in the left supraclavicular region for 8 years. Radiographic assessments disclosed a clearly demarcated, enclosed mass indicative of a lipomatous lesion. Microscopic analysis of the surgically removed specimen verified the presence of SCL, featuring mature adipocytes interspersed with spindle cells and collagen fibers. Subsequent immunohistochemical testing corroborated the diagnosis through the detection of CD34 positivity and S-100 protein negativity. Subsequent to surgical excision, the patient experienced an uneventful recovery period, devoid of any signs of recurrence throughout the monitoring phase. Despite its rarity, SCL should be contemplated in the differential diagnosis of neck masses, particularly when radiological findings point towards adipose tissue-related neoplasms. Timely identification and suitable intervention play a pivotal role in ensuring positive prognoses for individuals afflicted with SCL in the neck region

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梭形细胞脂肪瘤1例

梭形细胞脂肪瘤（SCL）是一种罕见的脂肪瘤亚型，其独特的组织病理学特征和倾向于定位于上背部、颈部和肩部的皮下组织。在这个报告中，我们描述了一个不寻常的SCL的例子，表现在宫颈区域62岁的女性个体。患者表现为左侧锁骨上区域无痛性肿块逐渐增大，持续8年。x线检查显示一个界限清晰的封闭肿块，提示脂肪瘤病变。手术切除标本的显微镜分析证实了SCL的存在，其特征是成熟的脂肪细胞散布着梭形细胞和胶原纤维。随后的免疫组化检测通过检测CD34阳性和S-100蛋白阴性证实了诊断。手术切除后，患者经历了一个平静的恢复期，在整个监测阶段没有任何复发迹象。尽管罕见，但在颈部肿块的鉴别诊断中应考虑SCL，特别是当影像学结果指向脂肪组织相关肿瘤时。及时识别和适当的干预在确保颈部SCL患者的积极预后方面起着关键作用

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.