An unusual approach for a cervical mass: sternotomy for the treatment of a giant cervico-thoracic lipoma: Sternotomy for the treatment of a giant cervico-thoracic lipoma

Gerardo Petruzzi; Lucrezia Trozzi; Silvia Moretto; Armando De Virgilio; Enrico Melis; Filippo Tommaso Gallina; Barbara Pichi; Flaminia Campo; Francesco Facciolo; Raul Pellini

doi:10.23750/abm.v92i6.12346

An unusual approach for a cervical mass: sternotomy for the treatment of a giant cervico-thoracic lipoma

Sternotomy for the treatment of a giant cervico-thoracic lipoma

Authors

Gerardo Petruzzi Gerardo Petruzzi: Department of Otolaryngology, Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Lucrezia Trozzi Department of Otolaryngology and Head and Neck Surgery, Catholic University of Sacred Heart, Rome, Italy.
Silvia Moretto Department of Otolaryngology and Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Armando De Virgilio 3 Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele (MI), Italy. 4 Department of Otorhinolaryngology Head and Neck Surgery, IRCCS Humanitas Clinical and Research Center, Via Alessandro Manzoni, 56, 20089 Rozzano (MI), Italy
Enrico Melis Thoracic Surgery Unit, Experimental Clinical Oncology Department, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Filippo Tommaso Gallina Thoracic Surgery Unit, Experimental Clinical Oncology Department, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Barbara Pichi Department of Otolaryngology and Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Flaminia Campo Department of Otolaryngology and Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Francesco Facciolo Thoracic Surgery Unit, Experimental Clinical Oncology Department, IRCCS Regina Elena National Cancer Institute, Rome, Italy
Raul Pellini Department of Otolaryngology and Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy

DOI: https://doi.org/10.23750/abm.v92i6.12346

Keywords:

Sternotomy, Lipoma, Combined approach, Liposarcoma, Mediastinum.

Abstract

Background and aim: Lipoma is a benign mesenchymal tumor. It is a very common tumor and in 13% of cases occurs in head and neck. Giant lipomas are extraordinary and cervical involvement with mediastinal extension is an exceedingly rare presentation. Only a few cases of thoracic extension are reported in literature.

Methods: We describe the case of a 62-years-old man with a giant cervico-mediastinic lipoma which required a combined approach through cervicotomy and sternotomy to ensure surgical radicality. Differential diagnoses could be thymolipoma, liposarcoma or familiar lipomatosis.

Results: The mass was removed en-bloc with thymus and locoregional lymph nodes. The patient recovered uneventfully.

Conclusions: The aim of this report is to discuss potential pitfalls of differential diagnosis and implementation of the therapeutic treatment. Focus on the relevance of performing fluorescence in situ hybridization (FISH) for MDM2 amplification is reported, a necessary technique for the differential diagnosis.

(www.actabiomedica.it)

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