Abstract

Mehri Sakhdari

Lipomas are benign tumors composed of mature adipose tissue, commonly found in the subcutaneous tissues of the neck, shoulders and back. However, their occurrence in atypical regions is relatively rare. We present the case of a 62-year-old post-menopausal woman who presented with a giant lipoma located in an unusual anatomical region. The patient was asymptomatic except for the gradual enlargement of a soft, mobile mass in the abdominal wall over a period of several years. Clinical examination revealed a firm, well-circumscribed mass measuring approximately 15 cm in diameter. Imaging studies, including ultrasonography and contrast-enhanced CT scan, confirmed the diagnosis of a lipoma, revealing its large size and distinct encapsulation. Surgical excision of the tumor was performed, and histopathological examination confirmed the diagnosis of a benign lipoma. The patient had an uneventful recovery and was free from recurrence at the 6-month follow-up. This case highlights the importance of considering lipoma in the differential diagnosis of unusual masses in atypical anatomical sites, even in elderly patients. A thorough clinical and radiological assessment is crucial for accurate diagnosis and optimal management of such cases. Although giant lipomas are uncommon, they can occur in various locations and should be treated surgically when symptomatic or growing in size, particularly in elderly individuals.