Lipoma of the Neck


  • Ivanka Temelkova Medical Institute of the Ministry of Interior, Dermatology, Venereology and Dermatologic Surgery, Sofia
  • Uwe Wollina Städtisches Klinikum Dresden, Department of Dermatology and Allergology, Academic Friedrichstrasse 41, Dresden
  • Veronica Di Nardo Department of Nuclear, Subnuclear and Radiation Physics, University of Rome “G. Marconi” via Plinio 44, Rome
  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery General Skobelev Nr 79, Sofia, Bulgaria; Onkoderma-Policlinic for Dermatology and Dermatologic Surgery General Skobelev 26, Sofia



Lipoma, Surgery, Conservative approach, MRI, Outcome


BACKGROUND: Lipomas are benign formations with the mesenchymal origin, which are found in the head and neck region in a very small percentage of cases. In these cases, they usually occur in the posterior neck and usually grow very slowly without causing complaints. However, when they cover the front of the neck, it is necessary to confirm the adipose origin of a tumour and to exclude the connection with the thyroid gland. Although in principle, lipomas are benign, there are three more unfavourable possibilities of 1) malignancy of lipomas, 2) the occurrence of de novo liposarcomas or 3) the association of lipomas with other tumours, such as retinoblastoma.

CASE REPORT: We present a 74-year-old woman with a painless subcutaneous formation in the neck. A Fine Needle Aspiration Biopsy (FNA) was performed, with the conclusion of the cytological result for lipoma. Surgical removal was planned under general anaesthesia.

CONCLUSION: Usually, lipomas do not require surgery, but when they engage muscles they become indicative of surgical treatment.


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How to Cite

Temelkova I, Wollina U, Di Nardo V, Tchernev G. Lipoma of the Neck. Open Access Maced J Med Sci [Internet]. 2018 Oct. 23 [cited 2021 Apr. 12];6(10):1875-7. Available from:



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