An unusual and spectacular case of spindle cell lipoma of the posterior neck invading the spinal cervical canal and posterior cranial fossa - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Journal of Neurosurgery: Spine Année : 2011

An unusual and spectacular case of spindle cell lipoma of the posterior neck invading the spinal cervical canal and posterior cranial fossa

, (1) , (2)
1
2

Résumé

The authors describe the first case of spindle cell lipoma of the posterior neck invading the upper cervical spinal canal and the posterior cranial fossa. Spindle cell lipoma is an extremely rare variant of benign lipoma. It usually occurs as a solitary subcutaneous well-circumscribed lesion in the posterior neck or shoulders of adult men. Local aggressiveness is unusual. This 61-year-old man presented with an increased left cerebellar syndrome and headaches. He also had a posterior neck tumefaction, which had been known about for a long time. Computed tomography and MR imaging studies revealed a voluminous mass extending to the upper cervical canal and posterior cranial fossa and eroding the neighboring bones. The lesion was well delimited, and contrast enhancement was intense and heterogeneous. The tumor, which had initially developed under the muscles of the posterior neck, was totally resected. Histological assessment revealed numerous fat cells with spindle cells secreting collagen. The large size of the tumor and the submuscular location, bone erosion, and compression of the CNS were unusual in this rare subtype of benign adipose tumor. Its presentation could simulate a sarcoma.

Fichier non déposé

Dates et versions

hal-03165466 , version 1 (10-03-2021)

Identifiants

Citer

D. Petit, Philippe Menei, Henri-Dominique Fournier. An unusual and spectacular case of spindle cell lipoma of the posterior neck invading the spinal cervical canal and posterior cranial fossa. Journal of Neurosurgery: Spine, 2011, 15 (5), pp.502-506. ⟨10.3171/2011.7.SPINE10820⟩. ⟨hal-03165466⟩
6 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook Twitter LinkedIn More