Cureus · 2026
Differentiation of Lipedema Nodules and Angiolipomas Based on the Ultrasound and Histopathologic Findings: A Case Series.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Vargas Deise, Foureaux Thais O, Wortsman Ximena, Sigrist Rosa Maria S, Lellis Rute, Chagas Lucas C, Saiki Paulo Y, Riedel Leila, Bizareli Gabriela N, Fontan Cláudia, Zattar Luciana, Silva Ana Carina G, Dini Simone A, Rezende Juliana, Prudente Daniella, Ducati Eliza P, Carvalho Katia Maria D, Melo Daniele C, Cunha Isabela W, Bernardi Walkiria H, Bezerra Alexandre S, Amato Alexandre C, Bueno Anderson N
Аннотация
Hyperechoic subcutaneous nodules in lipedema may mimic angiolipomas but represent an inflammatory and hypoxic-ischemic process rather than a neoplasia, despite tissue expansion. As the painful nodules expand, biopsy is recommended to exclude cancer. In this context, ultrasound (US) has become a pivotal tool for diagnosing and managing these nodules when combined with histopathologic assessment. However, many professionals in the field still have limited knowledge of this topic. In the present case series, the US and histopathologic findings of hyperechoic nodules in two patients with lipedema were compared with those observed in two patients with angiolipoma, with the aim of proposing US criteria to distinguish between these entities and highlighting the importance of accurate differential diagnosis.