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Spindle cell lipoma of the orbit: a case report of an unusual orbital pathology
- department of neurosurgery
- 2 nd Department of Ophthalmology, Pomeranian Medical University, al. Powstancow Wlkp. 72, 70-111 Szczecin, Poland
- Unit of Neuroradiology, University of Siena, Siena, Italy
- Department of Neurological and Behavioural Sciences, University of Siena, Siena, Italy
- Department of Human Pathology and Oncology, University of Siena, Siena, Italy
- Unit of Radiotherapy, ‘Santa Maria alle Scotte’ Hospital, Siena, Italy
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Abstract
Spindle cell lipoma is a rare and distinct variant of soft tissue tumour characterised by spindle cells in which the fat content may be scarce or absent. Most spindle cell lipomas arise as a subcutaneous mass of the neck, shoulders or back. Rarely, they can also be found in unusual sites, such as the oral cavity, larynx, bronchus, breast, and extremities. Localisation of spindle cell lipoma in the orbit has been described in a few cases. We report here on a case of an orbital mass surgically excised in an adult male and discuss the differential diagnosis with other soft tissue tumours with a lipomatous component, such as lipomatous haemangiopericytoma, a rare variant of haemangiopericytoma.
Abstract
Spindle cell lipoma is a rare and distinct variant of soft tissue tumour characterised by spindle cells in which the fat content may be scarce or absent. Most spindle cell lipomas arise as a subcutaneous mass of the neck, shoulders or back. Rarely, they can also be found in unusual sites, such as the oral cavity, larynx, bronchus, breast, and extremities. Localisation of spindle cell lipoma in the orbit has been described in a few cases. We report here on a case of an orbital mass surgically excised in an adult male and discuss the differential diagnosis with other soft tissue tumours with a lipomatous component, such as lipomatous haemangiopericytoma, a rare variant of haemangiopericytoma.
Keywords
spindle cell lipoma, orbit, surgery
Title
Spindle cell lipoma of the orbit: a case report of an unusual orbital pathology
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
419-423
Page views
308
Article views/downloads
615
DOI
10.1016/S0028-3843(14)60303-0
Bibliographic record
Neurol Neurochir Pol 2010;44(4):419-423.
Keywords
spindle cell lipoma
orbit
surgery
Authors
Simone Ulivieri
Giuseppe Oliveri
Paolo Alfonso Motolese
Mario Fruschelli
Edoardo Motolese
Felice Menicacci
Paolo Galluzzi
Matteo Bellini
Antonio Giorgio
Paolo Toti
Luigi Pirtoli