A rare case of hibernoma in the posterior thigh of an elderly patient: A surgical case report

被引:0
作者
Bouhouche, Mohammed [1 ]
Lamris, Mohamed Amine [1 ]
Bachkira, El Mehdi [1 ]
Rafaoui, Abderrahim [2 ]
Rahmi, Mohamed [2 ]
Rafai, Mohamed [2 ]
机构
[1] CHU Ibn Rochd, Orthoped & Traumatol Surg Pavil 32, Casablanca, Morocco
[2] CHU Ibn Rochd, 32 Pavil, Casablanca, Morocco
来源
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2024年 / 122卷
关键词
Hibernoma; Brown fat tumor; Posterior thigh; Elderly; MRI diagnosis; Surgical excision; Case report; PET/CT;
D O I
10.1016/j.ijscr.2024.110067
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction and importance: Hibernoma is a rare benign adipose tumor that arises from brown fat. Often misdiagnosed as liposarcoma, hibernomas require biopsy and histopathological examination for accurate diagnosis. This case report presents an unusual instance of hibernoma located in the posterior thigh of an elderly patient, emphasizing the diagnostic challenges and surgical management involved. Case presentation: We report the case of Mrs. F.D., a 70-year-old woman with a history of ovarian cyst surgery 17 years prior, who presented with a mass in the posterior left thigh. The mass had been developing over two years and was hard, painless, and measured 7 x 12 cm. Initial imaging suggested liposarcoma; however, an MRI revealed a 9 x 19 cm mass with heterogeneous tissue characteristics. A surgical biopsy confirmed the diagnosis of hibernoma. The tumor was excised completely, and histological examination showed typical features of hibernoma. Clinical discussion: Hibernomas, although rare, should be considered in the differential diagnosis of soft tissue masses. Imaging techniques such as MRI are essential, but definitive diagnosis relies on histopathology. Surgical excision is the treatment of choice, requiring meticulous technique to manage the hypervascular nature of the tumor. Conclusion: This case underscores the importance of considering hibernoma in differential diagnoses and highlights the role of biopsy for accurate diagnosis. Complete surgical excision is crucial to prevent recurrence. Further research is needed to better understand the pathogenesis and optimal management of hibernomas.
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页数:5
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共 15 条
  • [1] Alahyane A, 2006, Chir Main, V25, P166, DOI 10.1016/j.main.2006.07.032
  • [2] BILTERYS L, 1986, ANN CHIR PLAST ESTH, V31, P261
  • [3] Boudana D., 2009, Ann. Chir. Plast. Esthet.
  • [4] Bourlond J., 1994, Nouv Dermatol., V13, P779
  • [5] Chirieac Lucian R, 2006, Ann Diagn Pathol, V10, P104, DOI 10.1016/j.anndiagpath.2005.04.007
  • [6] Hibernoma: report emphasizing large intratumoral vessels and high T1 signal
    Colville, Jane
    Feigin, Kimberly
    Antonescu, Cristina R.
    Panicek, David M.
    [J]. SKELETAL RADIOLOGY, 2006, 35 (07) : 547 - 550
  • [7] da Motta ACBS, 2006, AM J NEURORADIOL, V27, P1658
  • [8] Hibernoma of the antero-lateral thigh
    Delle Volpe, C
    Salazard, B
    Casanova, D
    Vacheret, H
    Bartoli, JF
    Magalon, G
    [J]. BRITISH JOURNAL OF PLASTIC SURGERY, 2005, 58 (06): : 859 - 861
  • [9] The morphologic spectrum of hibernoma - A clinicopathologic study of 170 cases
    Furlong, MA
    Fanburg-Smith, JC
    Miettinen, M
    [J]. AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2001, 25 (06) : 809 - 814
  • [10] Pathology and genetics of adipocytic tumors
    Hameed, M.
    [J]. CYTOGENETIC AND GENOME RESEARCH, 2007, 118 (2-4) : 138 - 147