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J Neurol Surg A Cent Eur Neurosurg 2016; 77(01): 068-072
DOI: 10.1055/s-0034-1376193
Case Report
Georg Thieme Verlag KG Stuttgart · New York

First Report of Recurrent Intramuscular Lipoma after Decompression Surgery of the Lumbar Spine

Stephan Klessinger
1   Department of Neurosurgery, Nova Clinic, Biberach, Germany
2   Department of Neurosurgery, University of Ulm, Ulm, Germany
,
Wolfgang Freund
3   Department of Diagnostic and Interventional Radiology, University of Ulm, Ulm, Germany
,
Georg Karpel-Massler
2   Department of Neurosurgery, University of Ulm, Ulm, Germany
,
Christian Wirtz
2   Department of Neurosurgery, University of Ulm, Ulm, Germany
,
Dietmar Thal
4   Laboratory of Neuropathology, University of Ulm, Ulm, Germany
,
Marc-Eric Halatsch
2   Department of Neurosurgery, University of Ulm, Ulm, Germany
› Author Affiliations
Further Information

Publication History

16 December 2013

11 February 2014

Publication Date:
27 April 2015 (online)

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Abstract

Intramuscular or infiltrating lipomas are rare. We present a 58-year-old man with an intramuscular lipoma developing after decompression surgery for lumbar spinal canal stenosis. One year after macroscopically complete lipoma resection, an even bigger recurrent tumor had to be removed. The lumbar paraspinal musculature is a very uncommon site for an intramuscular lipoma. A relation between surgery and the growth and recurrence of an intramuscular lipoma has not been described previously in the literature.

Keywords

lipoma - spine surgery - spinal canal stenosis
 

  • References

  • 1 Lahrach K, el Kadi KI, Mezzani A, Marzouki A, Boutayeb F. An unusual case of an intramuscular lipoma of the biceps brachii. Pan Afr Med J 2013; 15: 40
    PubMedGoogle Scholar
  • 2 Phalen GS, Kendrick JI, Rodriguez JM. Lipomas of the upper extremity. A series of fifteen tumors in the hand and wrist and six tumors causing nerve compression. Am J Surg 1971; 121 (3) 298-306
    CrossrefPubMedGoogle Scholar
  • 3 Mori K, Chano T, Matsumoto K, Ishizawa M, Matsusue Y, Okabe H. Type-selective muscular degeneration promotes infiltrative growth of intramuscular lipoma. BMC Musculoskelet Disord 2004; 5: 20
    CrossrefPubMedGoogle Scholar
  • 4 Tallini G, Dal Cin P, Rhoden KJ , et al. Expression of HMGI-C and HMGI(Y) in ordinary lipoma and atypical lipomatous tumors: immunohistochemical reactivity correlates with karyotypic alterations. Am J Pathol 1997; 151 (1) 37-43
    PubMedGoogle Scholar
  • 5 Tkachenko A, Ashar HR, Meloni AM, Sandberg AA, Chada KK. Misexpression of disrupted HMGI architectural factors activates alternative pathways of tumorigenesis. Cancer Res 1997; 57 (11) 2276-2280
    PubMedGoogle Scholar
  • 6 Jones AP, Lewis CJ, Dildey P, Hide G, Ragbir M. Lipoma or liposarcoma? A cautionary case report. J Plast Reconstr Aesthet Surg 2012; 65 (1) e11-e14
    CrossrefPubMedGoogle Scholar
  • 7 El Ouni F, Jemni H, Trabelsi A , et al. Liposarcoma of the extremities: MR imaging features and their correlation with pathologic data. Orthop Traumatol Surg Res 2010; 96 (8) 876-883
    CrossrefPubMedGoogle Scholar
  • 8 Meyer KA, Bancroft LW, Dietrich TJ, Kransdorf MJ, Peterson JJ. Imaging characteristics of benign, malignant, and infectious jaw lesions: a pictorial review. AJR Am J Roentgenol 2011; 197 (3) W412-421
    CrossrefPubMedGoogle Scholar
  • 9 Bidault F, Vanel D, Terrier P , et al. Liposarcoma or lipoma: does genetics change classic imaging criteria?. Eur J Radiol 2009; 72 (1) 22-26
    CrossrefPubMedGoogle Scholar
  • 10 Weiss SW. Lipomatous tumors. Monogr Pathol 1996; 38: 207-239
    PubMedGoogle Scholar
  • 11 Uemura T, Suse T, Yokoyama T, Mitsukawa N, Yoshikawa A. Intramuscular benign lipoma of the temporalis muscle. Scand J Plast Reconstr Surg Hand Surg 2002; 36 (4) 231-234
    CrossrefPubMedGoogle Scholar
  • 12 Pélissier A, Sawaf MH, Shabana AH. Infiltrating (intramuscular) benign lipoma of the head and neck. J Oral Maxillofac Surg 1991; 49 (11) 1231-1236
    CrossrefPubMedGoogle Scholar
  • 13 Mattel SF, Persky MS. Infiltrating lipoma of the sternocleidomastoid muscle. Laryngoscope 1983; 93 (2) 205-207
    PubMedGoogle Scholar
  • 14 Scherl MP, Som PM, Biller HF, Shah K. Recurrent infiltrating lipoma of the head and neck. Case report and literature review. Arch Otolaryngol Head Neck Surg 1986; 112 (11) 1210-1212
    CrossrefPubMedGoogle Scholar
  • 15 Allen B, Rader C, Babigian A. Giant lipomas of the upper extremity. Can J Plast Surg 2007; 15 (3) 141-144
    CrossrefPubMedGoogle Scholar
  • 16 Vashu R, Subramaniam M. Large lipoma of the spermatic cord presenting as post-operative recurrent hernia in a middle aged gentleman: a case report. Cases J 2009; 2: 8500
    CrossrefPubMedGoogle Scholar
  • 17 Nasr AO, Tormey S, Walsh TN. Lipoma of the cord and round ligament: an overlooked diagnosis?. Hernia 2005; 9 (3) 245-247
    CrossrefPubMedGoogle Scholar