title: Lipomatosis of the parotid gland in children.
abstract: Parotid lipomatosis is extremely rare in children. Only 4 cases have previously been reported in the English language medical literature. Surgical excision is frequently complicated by recurrence. We report, a fifth case, on a 5-month-old girl with rapidly progressive parotid lipomatosis. Emphasis is laid on the importance of preserving the unusually delicate tumor capsule to prevent tissue spillage and recurrence. The creation of an appropriate cleavage between the mass and the expanded skin with sparse subcutaneous fat, safeguarding the tumor capsule on one side and the skin blood supply on the other, represents a rewarding technical challenge.
authors.affiliation: Division of Pediatric Surgery,College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia. aalarfajsa@yahoo.co.uk
authors.forename: Abdullatif A
authors.initials: AA
authors.lastname: Al-Arfaj
authors.forename: Roopa K
authors.initials: RK
authors.lastname: Arora
authors.forename: Abdullah Y
authors.initials: AY
authors.lastname: El Hassan
authors.forename: Roshdi R
authors.initials: RR
authors.lastname: Al-Metwalli
mesh_terms: D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007223:Infant; D008068:Lipomatosis / Q000175:diagnosis* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D010306:Parotid Gland / Q000473:pathology* / Q000601:surgery; D010307:Parotid Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D035583:Rare Diseases; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012529:Saudi Arabia; D013524:Surgical Flaps; D016896:Treatment Outcome