Surgical treatment of a giant lipoma in the parotid gland.
Recently, a case of deep-lobe lipoma with enucleation was reported, but frozen-section biopsy for the confirmation of the malignancy was not done. It has been suggested that lipoma in the deeper tissues should be regarded as a well-differentiated liposarcoma and be treated with wide excision. Our experience is that of a 75-year-old woman who had a mass with fat density in the deep lobe of the right parotid gland, which extended through the parapharyngeal and the buccal spaces. Lumpectomy with frozen-section biopsy was performed, not only preserving branches of facial nerve but also ruling out the malignancy. Frozen-section biopsy showed a lipomatous lesion without malignancy, so further treatment such as total parotidectomy was not needed.
Kim
Dong-Seok
DS
Department of Plastic Surgery, Uijongbu St. Mary's Hospital, College of Medicine, Catholic University of Korea, 65-1 Kumoh-Dong, Uijongbu, Korea.
Kwon
Ho
H
You
Gyeol
G
Jung
Sung-No
SN
D000273:Adipose Tissue / Q000473:pathology; D000368:Aged; D001706:Biopsy / Q000379:methods; D005154:Facial Nerve / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008067:Lipoma / Q000473:pathology / Q000601:surgery*; D008867:Microtomy; D015580:Mohs Surgery; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed