Giant Lipoma in the Lateral Neck Causing Internal Jugular Vein Deformity
10.21593/kjhno/2022.38.2.29
- Author:
Jun Ho CHOI
1
;
Sang Seong OH
;
Kwang Seog KIM
;
Jae Ha HWANG
;
Sam Yong LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
- Publication Type:Case Report
- From:
Korean Journal of Head and Neck Oncology
2022;38(2):29-32
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lipoma is one of the most common benign soft tissue tumors. However, giant lipomas compressing and deforming the neurovascular structure rarely occur in the lateral neck. A 70-year-old man visited our outpatient clinic for treatment of a visible painless neck mass that had been identified 2 years prior. Neck magnetic resonance imaging revealed that a 10 × 9 × 4 cm fatty mass located between the sternocleidomastoid and sternohyoid muscles invaded the carotid sheath. Under general anesthesia, the mass was excised without damage to the adjacent neurovascular structures. Upon histopathological examination, the mass was identified as a lipoma. During the surgery, enlargement of the internal jugular vein was observed under the resected mass. However, on ultrasound examination, the function of the internal jugular vein was evaluated as good. No recurrence or neurological and vascular complications were reported during a 6-month follow-up after the surgery. As a giant lipoma located in the deep layer of the lateral neck can deform important cervical structures, its impact on the surrounding structures should be carefully assessed preoperatively to minimize the rate of possible complications.
