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International journal of surgery case reports · 2025

Exceptional etiology of a huge pedunculated chest wall tumor with over 40 years of evolution: A case report.

Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Chaari Zied, Ayed Aymen Ben, Bouattour Hanen, Ayed Ahmed Ben, Hentati Abdessalem

Аннотация

INTRODUCTION AND IMPORTANCE: Chest wall tumors are common and predominantly benign. Exceptionally, long-standing evolution over decades can lead to the development of giant tumors, posing substantial technical and strategic challenges in determining the optimal surgical approach.

PRESENTATION OF CASE: We report a rare case of a giant pedunculated chest wall lipoma that had been growing for over 40 years in a 73-year-old man. CT scan revealed a mass with a 5 cm-suprascapular-implantation base, hanging posteriorly and mimicking a pseudo-limb, measuring 17 × 7 cm in diameter and 34 cm in length. Complete surgical resection was performed, and histopathology confirmed a benign lipoma with no signs of malignancy.

CLINICAL DISCUSSION: To our knowledge, this is the first reported case of a huge lipoma with more than 40 years of evolution and an unusual pedunculated presentation resembling a third upper limb.

CONCLUSION: This case is exceptional due to its pedunculated appearance resembling an additional limb, and a slow evolution over more than 40 years. Complete surgical resection ensures a favorable prognosis.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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