Fatty tissue in back of neck-Lipomas | Cleveland Clinic

Lipomas are the most frequent soft tissue tumors. Osteolipomas are a rare variant that can be difficult to diagnose. We report the case of a year-old man consulting with a tumor of 2 years development in the right paravertebral cervical region. Neurologically, the patient had no sign of myelopathy or neurological focality. Magnetic resonance imaging showed a mass with a lipid component and calcifications inside within the right paravertebral musculature with a possible origin in the right C3 posterior root.

Fatty tissue in back of neck

Lipomas can look very similar to a rare cancer called a liposarcoma. A number of unusual lumps can occur that either people are born tixsue congenital or which occurred as part of slightly abnormal development. Tumors i proliferations of adipose tissue: a clinicopathologic approach. Lipohypertrophy is an abnormal mass of fat Lady escorts the skin. By using this site you agree to our use of cookies. As a very broad rule, if it is soft, it is less likely to have a worrying cause. Occasionally a cancer can develop in a salivary gland.

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A lipoma is a fatty lump Sissy maid apron most often sits under the skin, but can also develop within muscle or internal organs. It was a lipoma which is a benign fatty tumor. What is a Neck Lump? Genetic factors and inherited dispositions toward weight gain and fat storage run in families. My doctor told me that sometimes injecting a steroid directly into the middle of the lipoma can make it go away. For tiissue long time doctors have measured fat in the gut, known Fatty tissue in back of neck visceral adipose tissue, to determine the risk of cardiovascular disease. Cushing's Syndrome and Fat Neck. Multiple lipomas in no way indicate that the condition has metastasized; it is due to a chromosomal defect. I googled rolfer in my area, picked one and went. The 'elbow' joins the lower and upper arm. Any time you detect Fatty tissue in back of neck small lump nexk testicle regions it puts you in panic mode and you bacck the. The most common way to treat a lipoma is to remove it through tidsue. For maximal peace of mind and resolution, your doctor may also conduct a biopsy. A scrotal mass is frightening.

A lipoma is a knot of fatty tissue that is usually found just below the skin subcutaneous.

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Lipomas are the most frequent soft tissue tumors. Osteolipomas are a rare variant that can be difficult to diagnose. We report the case of a year-old man consulting with a tumor of 2 years development in the right paravertebral cervical region. Neurologically, the patient had no sign of myelopathy or neurological focality. Magnetic resonance imaging showed a mass with a lipid component and calcifications inside within the right paravertebral musculature with a possible origin in the right C3 posterior root.

A computed tomography scan and guided biopsy were performed, revealing hematic material and small bone spicules with no apparent neoplastic element. The tumor was totally removed, including the right C3 posterior branch, and was confirmed to be an osteolipoma on biopsy.

The patient remains asymptomatic at 6-month follow-up. The osteolipoma is a benign tumor of soft tissue, characterized by lipoma areas with mature bone tissue differentiation, and even with hematopoietic marrow.

Lipomas are the most frequent soft tissue tumors [ 1 ]. They can appear in any location, but are usually found in subcutaneous regions, often in the soft adipose tissue of the neck, back, and extremities [ 2 ]. They occur most commonly in adults. On gross examination, they are tan-to-yellow lobulated masses with thin strands of intervening fibrous septae. Lipomas can include a variety of other mesenchymal elements, leading to neoplasms, such as fibrolipomas, angiolipomas, chondrolipomas, and ossifying lipomas osteolipomas [ 3 ].

Lipomas that are ossified are most often within or adherent to adjacent bone, known as interosseous or perosteal lipomas, respectively [ 4 ]. When a lipoma independent of a bone undergoes ossification, it is referred to as an ossifying lipoma or an osteolipoma. This is a rare variant that can be difficult to diagnose using imaging methods and they can be challenging to differentiate from benign lipomas [ 5 ]. We report the case of a year-old man with a history of diabetes and hepatic steatosis, who was referred to the Department of Orthopedics for the evaluation and treatment of a tumor in the right paravertebral cervical region.

He had first noted the tumor more than 2 years earlier, and it had grown slowly since then without symptoms until a few months ago, when he experienced pain and dizziness. He had no family history and had not suffered any severe trauma or irradiation of the region. On physical examination, we found a hard tumoration, adhered to deep planes, well demarcated, large in size, and without other signs. The patient had full neck range of motion. Neurologically, the patient showed no sign of myelopathy or neurological focality, only occasional dizziness with cervical flexion.

Diagnostic imaging, including plain radiograph and magnetic resonance imaging MRI , was obtained before referral. A computed tomography CT scan was ordered for further characterization. In the CT scan, the calcifications did not appear chondroid or osteoid. To make a diagnosis, we performed CT-guided biopsy that revealed hematic material and small bone spicules with no apparent neoplastic element. Without knowing clearly the origin of the tumor lipomatous, neurogenic, or osteocondroid , we decided on surgery, after performing an excisional biopsy due to the seemingly benign characteristics on punch biopsy and absence of any associated toxic syndrome.

It showed calcifications and seemed to be associated with the right C3 posterior nerve Fig. The final outcome of the pathology revealed mature adipose tissue proliferation with presence of trabecular bone and hematopoietic bone marrow Fig.

Lamelar bone tissue contained areas of osteoid and plexiform bone tissue, including the presence of a small amount of hyaline cartilage. Thus, this benign lipoma was diagnosed as an osteolipoma.

The tumoration included the right C3 posterior branch of the nerve, confirmed by the pathologist, to be normal peripheral nerve tissue. The patient's postoperative course has been uneventful, with no sign of recurrence at 6 months postoperatively. Lipomas are benign tumors, composed of mature adipose cells. The lipomatous component is always predominant in these lesions [ 2 ].

Ossification of these tumors is extremely rare, and osseous changes independent of bone attachment is the most unique of the variants [ 6 ].

When a lipoma undergoes osseous changes including mature bone tissue differentiation, even with hematopoietic marrow without bony attachment and fatty tissue predominates, it is referred to as an osteolipoma or ossifying lipoma [ 1 ].

An osteolipoma presents as an asymptomatic, slow-growing, round or discoid mass with a soft or doughy consistency.

Most cases go undetected for years because of the asymptomatic and indolent nature of this tumor [ 4 ]. Lipomas with osseous changes have the same prognosis as plain lipomas. Surgical excision is the recommended treatment [ 7 ]. The differential diagnosis includes benign tumors that may contain bone, including teratomas or dermoids. Tumor calcinosis and calcification in a bursa must also be considered [ 7 ]. Other conditions, such as ossifying fibromas, myositis ossificans, and osteosarcomas, have to be taken into consideration [ 5 ].

The histiogenesis of ossifying lipomas is still unclear. Some investigators have suggested that blood-borne monocytes or osteogenic factors convert fibroblasts into osteoblasts in a metaplastic response. Others have argued that systemic and local factors, such as microtrauma and mechanical stress, cause the changes. It has also been suggest by some authors that lipomas ossifying independent of bone are more likely to be mesenchymomas, in which pluripotent cells differentiate into both adipose and bone separately [ 4 , 8 ].

Lipoma with ossification was described for the first time in [ 9 ]. In a series of lipomas seen over a 5-year period, only six cases with ossification were found [ 1 ]. Several sites have been reported: in the soft tissues of the trunk and the extremities [ 2 , 10 , 11 , 12 ], the joint space of the knee [ 13 ], the neck region [ 3 ] including the retropharyngeal region [ 14 ], the parapharyngeal space [ 4 , 5 , 15 , 16 ], and the oropharynx [ 17 ] the oral cavity the most common site [ 6 , 18 , 19 , 20 , 21 , 22 ], the skull base [ 23 ] and both the intraspinal [ 24 , 25 , 26 ] and intracranial cavities [ 27 , 28 , 29 , 30 ].

There only five cases described in the literature related directly to spine Table 1 ; three of them were intraspinal osteolipomas [ 24 , 25 , 26 ], another was located in the anterior aspect of C1-C2, considered the neck region [ 4 ], and the most similar to our case report, was located intramuscularly at the paravertebral cervical spine [ 31 ].

Our case report is the first male with spine-related osteolipoma, found in the posterior aspect of the cervical spine, independent from the cervical vertebra, incorporating the C3 posterior branch.

Conflict of Interest: No potential conflict of interest relevant to this article was reported. National Center for Biotechnology Information , U. Journal List Asian Spine J v. Asian Spine J. Published online Apr Find articles by Pau Guirro. Find articles by Antoni Molina.

Author information Article notes Copyright and License information Disclaimer. Corresponding author. This article has been cited by other articles in PMC. Abstract Lipomas are the most frequent soft tissue tumors.

Keywords: Atypical lipoma, Cervical paravertebral, Soft tissue tumor, Ossifying lipoma. Introduction Lipomas are the most frequent soft tissue tumors [ 1 ]. Case Report We report the case of a year-old man with a history of diabetes and hepatic steatosis, who was referred to the Department of Orthopedics for the evaluation and treatment of a tumor in the right paravertebral cervical region.

Open in a separate window. A, B Plain radiographs indicating the calcified paravertebral mass. A, B Magnetic resonance imaging showing the lipid component and calcifications of the tumor within the right paravertebral musculature and showing the relationship with the right C3 posterior root circle. A, B Computed tomography showing the mass with fat tissue and calcifying tissue independent of the vertebrae.

Intraoperative picture showing the position of the paravertebral mass. Intraoperative picture showing the relationship between the C3 posterior root and the paravertebral mass. Discussion Lipomas are benign tumors, composed of mature adipose cells. It has also been suggest by some authors that lipomas ossifying independent of bone are more likely to be mesenchymomas, in which pluripotent cells differentiate into both adipose and bone separately [ 4 , 8 ] Lipoma with ossification was described for the first time in [ 9 ].

Table 1 Published case report of osteolipomas directly related to spine. Footnotes Conflict of Interest: No potential conflict of interest relevant to this article was reported. References 1. Allen PW. Tumors and proliferations of adipose tissue: a clinicopathologic approach. New York: Masson Pub. Ossifying lipoma. Virchows Arch. Ossifying lipoma independent of bone tissue. Ossifying lipoma of c1-c2 in an adolescent.

J Pediatr Orthop. Osteolipoma of the parapharyngeal space mimicking liposarcoma: a case report. Head Neck. Osteolipoma of the palate: report of a case and review of the literature. Niger J Clin Pract. Osteolipoma independent of bone tissue: a case report. Cases J. Subcutaneous ossifying lipoma: case report and review of the literature. J Cutan Pathol.

Three cases of ossifying lipoma. J Pathol Bacteriol. Murphy NB. Br J Radiol.

Especially if grown in noticeable places like the forehead, neck and shoulders, surgery could be a viable option if your lump is causing intense distress. This procedure is typically done under local anesthesia through a procedure known as an excision. It was a lipoma which is a benign fatty tumor. I inherited lipomatosis from my mother. Steroid injections may also be used right on the affected area.

Fatty tissue in back of neck

Fatty tissue in back of neck. What is a Lump of Fatty Tissue Under Skin?

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Cervical Paravertebral Osteolipoma: Case Report and Literature Review

A lipoma is a growth of fatty tissue that slowly develops under your skin. People of any age can develop a lipoma, but children rarely develop them. A lipoma can form on any part of the body, but they typically appear on the:. There are many types of skin tumors, but a lipoma usually has distinct characteristics. If you suspect that you have a lipoma it will generally:. Lipomas are most commonly located in the neck, upper arms, thighs, forearms, but they can also occur on other areas such as the stomach and back.

A lipoma is only painful if it compresses nerves underneath the skin. A variant known as angiolipoma is also more often painful than regular lipomas.

You should call your healthcare provider if you notice any changes in your skin. Lipomas can look very similar to a rare cancer called a liposarcoma. The cause of lipomas is largely unknown, although there may be a genetic cause in individuals with multiple lipomas, according to the Cleveland Clinic.

Your risk of developing this type of skin lump increases if you have a family history of lipomas. This condition is most prevalent in adults between the ages of 40 and 60, according to the Mayo Clinic.

Healthcare providers can often diagnose a lipoma by performing a physical exam. In some cases, a dermatologist might take a biopsy of the lipoma. This test is done to rule out the possibility of cancer. If your lipoma continues to enlarge and becomes painful, your doctor can remove it to relieve your discomfort as well as rule out liposarcoma.

Further testing using MRI and CT scans may only be required if a biopsy shows that a suspected lipoma is actually a liposarcoma. However, a dermatologist can treat the lump if it bothers you. They will make the best treatment recommendation based on a variety of factors including:. The most common way to treat a lipoma is to remove it through surgery.

This procedure is typically done under local anesthesia through a procedure known as an excision. Liposuction is another treatment option. Since lipomas are fat-based, this procedure can work well to reduce its size. Liposuction involves a needle attached to a large syringe, and the area is usually numbed before the procedure. Steroid injections may also be used right on the affected area.

Lipomas are benign tumors. See your healthcare provider for treatment if you have any concerns about getting rid of a lipoma. Some surgeries and procedures may be more painful than others. Here are 7 of the most painful ones. Lipohypertrophy is an abnormal mass of fat under the skin. It's common in people with insulin-dependent diabetes because repeated injections can cause…. But some instances can be a symptom of an underlying…. Lymphoma is defined as a group of blood cancers in your lymphatic….

An abdominal lump is a swelling or bulge that emerges from the abdomen. It usually feels soft, but may be firm depending on the underlying cause. Gardner's syndrome is a rare genetic disorder. It usually causes benign noncancerous growths in the colon. Lumps behind the ears are rarely a sign of a life-threatening problem.

They may signal a need for medication, however, as in the case of an infection…. Benign tumors are noncancerous growths in the body. A physical exam from your primary care provider is used to check your overall health and make sure you don't have any medical problems that you're….

What are the symptoms of a lipoma? What are the risk factors for developing a lipoma? How is a lipoma diagnosed? How is a lipoma treated? Armpit Lump. Abdominal Lump. Read this next. Gardner's Syndrome Medically reviewed by Stacy R. Sampson, DO. Burkitt's Lymphoma.

Fatty tissue in back of neck

Fatty tissue in back of neck

Fatty tissue in back of neck