An unusual posterior mediastinal lipoblastoma with spinal epidural extension presenting as a painful suprascapular swelling: case report and a brief review of the literature

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Rewati Raman SharmaMohammed M Musa

Abstract

Lipoblastoma is a rare benign pediatric neoplasm of fetal-embryonal fat with little risk of recurrence following total microsurgical excision, but it may progress to local invasion or infiltration if not treated surgically. No adjuvant therapies are usually necessary once the tumor is excised. It is best diagnosed on histopathological studies following excision. An unusual posterior mediastinal lipoblastoma in a 2-year-old Omani girl with spinal epidural extension clinically manifested as a progressive painful suprascapular swelling is reported. It was initially construed to be a benign lipoma, but progressively increasing pain and mild imbalance whilst walking with a tendency to fall on the right side prompted neurosurgical referral and eventual total excision without any added morbidity. Interesting clinical and neuroimaging (CT & MRI) findings are presented and discussed, with a brief review of the literature.

References

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Citations

Sep 12, 2015·Virchows Archiv : an International Journal of Pathology·Michael A den BakkerPhilipp Ströbel
Nov 1, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Spazzapan PeterPrestor Borut
Feb 6, 2009·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Nasir K Amra, Samir S Amr
May 6, 2009·Journal of Pediatric Hematology/oncology·Mehmet MutluHavva Turgutalp

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