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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2021, Number 2

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Rev Mex Urol 2021; 81 (2)

Perineal hibernoma: a case report and literature review

Legido-Gómez Ó, Rico-Marco S, Díaz de Mera Sánchez-Migallón I, Heeraíz-Raya L, Fliquete-Serrano G, Carrión-López P, Salinas-Sánchez AS
Full text How to cite this article

Language: Spanish
References: 7
Page: 1-7
PDF size: 322.82 Kb.


Key words:

Hibernoma, Brown fat, Lipomatous neoplasia.

ABSTRACT

Clinical case: The present article describes the case of a 48-yearold male patient with no history of interest referred from primary care to evaluate a left perineal tumour occasionally painful. Radiological findings reveal a fatty lesion whose suspected diagnosis is hibernoma being confirmed once the histopathological examination is made.
Relevance: Hibernoma is frequently mistaken for lipoma or liposarcoma due to its clinical and radiological features, being crucial the differentiation to avoid potentially iatrogenic therapies.
Conclusion: Hibernoma is a rare, slow-growing and painless benign neoplasia originated from brown fat. Although it can be suspected according to diagnostic imaging, the definitive diagnosis is histological and the treatment of choice consists of a complete resection. There are no reported cases of recurrence or metastases at the long-term follow-up.


REFERENCES

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  2. Al Hmada Y, Schaefer I-M, Fletcher CDM. Hibernoma Mimicking Atypical Lipomatous Tumor: 64 Cases of a Morphologically Distinct Subset. Am J Surg Pathol. 2018;42(7):951–7. doi: 10.1097/PAS.0000000000001061

  3. Collado L, Sierre S, Bosalec A, Lipsich J. Hibernoma: tumor retroperitoneal de grasa parda: Informe de un caso pediátrico. Arch argent pediatr. 2011;109(6):126–9.

  4. Kishida Y, Koyama H, Seki S, Yoshikawa T, Kyotani K, Okuaki T, et al. Comparison of fat suppression capability for chest MR imaging with Dixon, SPAIR and STIR techniques at 3 Tesla MR system. Magn Reson Imaging. 2018;47:89–96. doi: 10.1016/j.mri.2017.11.012

  5. Pothen L, D’Abadie P, Kozyreff A, Mourin A, Coubeau L. Hibernoma mimicking liposarcoma. Lancet. 2018;392(10143):244. doi: 10.1016/ S0140-6736(18)31436-3

  6. Hallin M, Schneider N, Thway K. Well-Differentiated Liposarcoma With Hibernoma-Like Morphology. Int J Surg Pathol. 2016;24(7):620–2. doi: 10.1177/1066896916653213

  7. Marchand L, Decaussin-Petrucci M, Giraud S, Cotton F, Thivolet C, Simon C. Hibernoma and multiple endocrine neoplasia type 1 syndrome: A non-fortuitous association? A case report and literature review. Ann Endocrinol (Paris). 2017;78(3):194–7. doi: 10.1016/j. ando.2017.03.001




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Rev Mex Urol. 2021;81