Pleomorphic lipoma with furuncular myiasis (Maggots) of scalp - A rare case report

Chari, Brahmaiah KR and Lakshmi, Sindhura KL and Verma, Seemitr and Nayak, Deepak M (2014) Pleomorphic lipoma with furuncular myiasis (Maggots) of scalp - A rare case report. International Journal of Scientific Study, 2 (4). pp. 108-110.

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Abstract

Pleomorphic/Spindle cell lipoma is a benign tumour of the adipose tissue, frequently arising from the subcutaneous fat, principally from the back of shoulder, extremities and infrequently from oral cavity retropharyngeal space, thigh and genitals. This tumour is usually well circumscribed, slow growing, unifocal and rarely ulcerates. Unusual sites of occurrence and rarity of the tumour poses problems in diagnosis for the histopathologist. Tumour histology shows mature fat with bland spindled mesenchymal cells traversed by thin ropy collagen. We herein present a case of a large Pleomorphic/Spindle cell lipoma is a benign tumour of the adipose tissue, frequently arising from the subcutaneous fat, principally from the back of shoulder, extremities and infrequently from oral cavity retropharyngeal space, thigh and genitals. This tumour is usually well circumscribed, slow growing, unifocal and rarely ulcerates. Unusual sites of occurrence and rarity of the tumour poses problems in diagnosis for the histopathologist. Tumour histology shows mature fat with bland spindled mesenchymal cells traversed by thin ropy collagen. We herein present a case of a large Pleomorphic/Spindle cell lipoma is a benign tumour of the adipose tissue, frequently arising from the subcutaneous fat, principally from the back of shoulder, extremities and infrequently from oral cavity retropharyngeal space, thigh and genitals. This tumour is usually well circumscribed, slow growing, unifocal and rarely ulcerates. Unusual sites of occurrence and rarity of the tumour poses problems in diagnosis for the histopathologist. Tumour histology shows mature fat with bland spindled mesenchymal cells traversed by thin ropy collagen. We herein present a case of a large pleomorphic lipoma of scalp with furuncular myiasis in a 58 year-old male who neglected the initial swelling and later consulted the surgeon for an ulcer. Surgeon resected tumour due a suspicion of malignancy. Grossly, the neoplasm measured 10 x 8 cm with an ulcerated surface; with the cut section comprising of a lobulated tumour with grey-white areas. Tumour histology consisted of mature adipocytes intersected by thin ropy collagen scattered with floret giant cells and interestingly, an accidental finding of larva of myasis.

Item Type: Article
Uncontrolled Keywords: Myiasis; pleomorphic lipoma; ropy collagen; spindle cell lipoma.
Subjects: Medicine > MMMC Manipal > Pathology
Medicine > KMC Manipal > Pathology
Depositing User: KMC Manipal
Date Deposited: 07 Jul 2014 04:18
Last Modified: 07 Jul 2014 04:18
URI: http://eprints.manipal.edu/id/eprint/140039

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