Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 21376
  Title A case report of an intermuscular lipoma: Presentation, pathophysiology, differential diagnosis [case report]
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188344/
Journal J Chiropr Med. 2010 Sep;9(3):127-131
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Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: The purpose of this report is to present the case of a 54-year-old female patient with a pathologically confirmed diagnosis of soft tissue lipoma. The clinical presentation, pathophysiology, differential diagnosis, and treatment options for lipoma are described.

Clinical Features: The patient presented to a chiropractic clinic with painful swelling in the right anterior thigh. Physical examination revealed a palpable mobile mass with minimal tenderness.

Intervention and Outcome: The initial consultation was with the primary care physician, and it resulted in a sonographic examination as the initial imaging modality to rule out deep venous thrombosis. The result of this examination was negative. Following a delay by additional incorrect diagnoses and treatments, a diagnosis of an intermuscular lipoma was established by magnetic resonance imaging and confirmed on biopsy as a soft tissue lipoma. The patient underwent complete excision of the mass.

Conclusion: Lipomas are common benign soft tissue masses and should be considered in the differential diagnosis of a thigh mass. Magnetic resonance imaging with contrast depicts the lipomatous mass as having a characteristic high-intensity fat signal without enhancement. It is important for clinicians to have an increased awareness in recognizing the clinical and imaging manifestations of a soft tissue lipoma to optimize an initial diagnosis and treatment.

This abstract is reproduced with the permission of the publisher; full text by subscription.

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