Lipomas of the head and neck: presentation variability and diagnostic work-up
Lipomas of the head and neck: presentation variability and diagnostic work-up
复制标题
DOI：
10.1017/s0022215105004597
复制
发表时间：
2006-01-01
影响因子：
1.7
通讯作者：
Magdy, EA
中科院分区：
文献类型：
--
作者：
Abd El-Monem, MH;Gaafar, AH;Magdy, EA
简介：头颈部脂肪瘤在文献中很少引起注意，除了在孤立的病例reports.Aims：本研究旨在评估头颈部脂肪瘤的表现变异性以及术前诊断方法的相对重要性和有效性。材料和方法：回顾性分析了24例经组织病理学证实的头颈部脂肪瘤患者的病历和影像学研究，结果：24例患者共26个脂肪瘤。男子占多数（62.5%）。后皮下颈部是最常见的部位。三名患者患有影响下咽部、喉部和腮腺的深部脂肪瘤;所有患者均在术前得到正确诊断。计算机断层扫描（CT）扫描与特定的放射密度recording.Conclusions的首选术前调查：脂肪瘤应考虑在软组织头颈部肿块的鉴别诊断，即使在罕见的位置。CT或磁共振成像扫描可以在术前正确诊断脂肪瘤，从而制定更好的治疗计划。
Introduction: Head and neck lipomas have seldom drawn attention in the literature, except in isolated case reports.Aims: This study aimed to assess the presentation variability of head and neck lipomas as well as the relative importance and efficiency of pre-operative diagnostic methods used.Materials and methods: A retrospective review was undertaken of medical records and imaging studies of 24 patients with histopathologically proven head and neck lipomas, over a three-year period.Results: The 24 patients had 26 lipomas. Men predominated (62.5 per cent). The posterior subcutaneous neck was the most common site. Three patients had deep lipomas affecting the hypopharynx, larynx and parotid gland; all were correctly diagnosed pre-operatively. Computed tomography (CT) scan with specific radiodensity recording was the preferred pre-operative investigation.Conclusions: Lipomas should be considered in the differential diagnosis of soft-tissue head and neck masses even in rare locations. A CT or magnetic resonance imaging scan can correctly diagnose a lipoma pre-operatively, thereby allowing better treatment planning.