An unusual posterior mediastinal lipoblastoma with spinal epidural extension presenting as a painful suprascapular swelling: case report and a brief review of the literature.
Lipoblastoma is a rare benign pediatric neoplasm of fetal-embryonal fat with little risk of recurrence following total microsurgical excision, but it may progress to local invasion or infiltration if not treated surgically. No adjuvant therapies are usually necessary once the tumor is excised. It is best diagnosed on histopathological studies following excision. An unusual posterior mediastinal lipoblastoma in a 2-year-old Omani girl with spinal epidural extension clinically manifested as a progressive painful suprascapular swelling is reported. It was initially construed to be a benign lipoma, but progressively increasing pain and mild imbalance whilst walking with a tendency to fall on the right side prompted neurosurgical referral and eventual total excision without any added morbidity. Interesting clinical and neuroimaging (CT & MRI) findings are presented and discussed, with a brief review of the literature.
Raman Sharma
Rewati
R
Neurosurgery, National Neurosurgical Center, Khoula Hospital, Muscat, Sultanate of Oman. rrsharma@omantel.net.om
Mahapatra
Ashok K
AK
Pawar
Sanjay J
SJ
Sousa
Jesus
J
Musa
Mohammed M
MM
D002675:Child, Preschool; D003937:Diagnosis, Differential; D004824:Epidural Space; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000601:surgery; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D012540:Scapula; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery