2009, Number 1
Rev Mex Cir Pediatr 2009; 16 (1)
Torres-Contreras L, Sánchez-Nava J, Hernández-Fraga H, Zepeda-Najar C, Rojas-Maruri M
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ABSTRACTIntroduction: The lipoblastoma is a rare benign tumor with only nine cases reported with presentation in the face and neck. Originates from embryonic cells fats to continue their proliferation in the postnatal period. The age of presentation average is three years and usually occur in limbs and trunk. Clinical presentation and radiation may be similar to that of linfagioma, however, it is important to reach preoperative diagnosis because the lipoblastoma can resected without functional consequences.
Clinical case: a Patient of the female sex of a year four months of age, which began its clinical picture in April 2006 to the three months of life, with the presence of mass supraclavicular left approximately 8 x 7 cms, not painful, not adhering to deep planes of consistency soft, with image studies (US and TAC ) It was diagnostic as linfagioma, so it is administered OK 432 on three occasions, in spite of which the mass increased in size, so that decides its surgical resection . The specimen measured 21 x 15 x 9 CMS and weight 1300 grs. With evolution postoperative satisfactory.
Discussion: The appearance of clinical lipoblastoma neck has several similarities with the linfagioma quistico; age, location in region later cervical and consistency. However handling is very different from what is important to note the patterns to achieve and thus help to the pediatric surgeon to improve the results in the handling of both entities.A lipoblastoma has an excellent prognosis despite its size, and the high rate of growth and its trend limited to invade neighboring tissue.