Manish Gupta*, Naiya Rao and Maitrayee Roy
Maharishi Markandeshwar Institute of Medical Sciences & Research, MMU, Ambala, India
Received: 31 March, 2017; Accepted: 10 June, 2017; Published: 13 June, 2017
Manish Gupta, Professor, Department of ENT, Govt. Medical College & Hospital Campus, Sector 32-B, Chandigarh- 160030, India, Tel: 09915025819; E-mail:
Gupta M, Rao N, Roy M (2017) Giant Cervico-Mediastinal Myxolipoma in a 6 Year Old Child. Arch Otolaryngol Rhinol 3(2): 056-59. DOI: 10.17352/2455-1759.000046
© 2017 Gupta M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Lipoma; Neck; Child; Myxolipoma
Lipomas are benign mesenchymal tumors that may present anywhere on the body. However, myxolipoma, the histological variant is rarely seen. We report a rare case of giant anterior cervico-mediastinal myxolipoma in a 6 year old child, with discussion over diagnostic and management strategies for same.
Lipomas are benign mesenchymal tumors, seen all over body, usually occurring in 5th and 6th decades of life . 25 % of lipomas are seen in Head & Neck area and mostly in subcutaneous region, posterior triangle neck . Usually slow growing, they are generally asymptomatic, till reach great size to cause cosmetic defect or pressure symptoms on surrounding structures or impair function or mobility. Lipomas greater than 10cm in width or more than 1000g in weight are called giant tumors .
Myxolipoma is one of the extremely rare histological variant of lipoma, accounting for <1% of lipomas , characterized by mature adipose tissue and abundant mucoid substance.
Here we report successful surgical excision of giant anterior cervical myxolipoma in a child. The rarity of this variant and huge size of the tumor in a six year old makes this interesting.
A six year male, child, resident of Saharanpur, Uttar Pradesh, presented to our out-patient department with complaint of gradual onset, painless, progressive single, swelling neck for three years. The child had no history of breathlessness but occasional difficulty in swallowing was present. There was no history of sudden increase in size, voice change or fever. There was no history of similar swelling in other three siblings. There was no history of previous medication or surgery for same.
On examination, the mass was 10cm X 5cmX 5cm, normal temperature, non-tender, lobulated, firm, fixed to underlying structure, but free overlying normal skin, extending from chin to clavicle involving left anterior triangle of the neck, displacing trachea to the right and left common carotid anteriorly (Figure 1). Finger could not be passed between the lower end of mass and suprasternal notch, suggesting anterosuperior mediastinal extension. There was no other palpable mass or cervical lymph node. Oral cavity examination was within normal limits.