Left Supraclavicular Spindle Cell Lipoma

Joint Authors

Fu, Bertram
Lawson, Charles
Mitchell, David
Moorthy, Ram
Olaleye, Oladejo
Black, Myles

Source

International Journal of Otolaryngology

Issue

Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2010-05-25

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Background.

Spindle cell lipoma (SCL) is a benign lipomatous tumour, typically occurring in the posterior neck, shoulder or upper back of elderly males.

They compose of fat, CD34 positive spindle cells, and ropey collagen on a myxoid matrix.

This case highlights a rare presentation of SCL and the need for pre-operative diagnosis.

Case Report.

A 63-year-old gentleman presented with a pre-existing left supraclavicular mass that had recently increased in size.

FNA and CT Scans were performed and results discussed in the mutidisciplinary team meeting.

Excisional biopsy was recommended.

Radiology.

CT neck showed a left supraclavicular mass of fatty density with fine internal septations.

A low-grade liposarcoma could not be excluded.

Histopathology.

FNA was indeterminate.

Histology of specimen showed bland spindle cells with no evidence of malignancy.

Immuno-histochemistry showed SCL with CD34 positivity and negative staining on CDK4 and p16.

Management.

Excision biopsy of the mass was performed which was technically difficult as the mass invaginated around the brachial plexus.

The patient recovered well post-operatively with no neurological deficits.

Conclusion.

Spindle cell lipoma is a rare benign tumour and a pre-operative diagnosis based on the clinical context, imaging and immuno-histochemistry is crucial to management.

American Psychological Association (APA)

Olaleye, Oladejo& Fu, Bertram& Moorthy, Ram& Lawson, Charles& Black, Myles& Mitchell, David. 2010. Left Supraclavicular Spindle Cell Lipoma. International Journal of Otolaryngology،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-510094

Modern Language Association (MLA)

Olaleye, Oladejo…[et al.]. Left Supraclavicular Spindle Cell Lipoma. International Journal of Otolaryngology No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-510094

American Medical Association (AMA)

Olaleye, Oladejo& Fu, Bertram& Moorthy, Ram& Lawson, Charles& Black, Myles& Mitchell, David. Left Supraclavicular Spindle Cell Lipoma. International Journal of Otolaryngology. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-510094

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-510094