Lipoma - gluteal lesion

Case contributed by Dr Maulik S Patel

Presentation

Left gluteal region swelling - 1 yr. No trauma. Discomfort while sitting.

Patient Data

Age: about 50 - 55 yrs
Gender: Female
Modality: X-ray

No significant bony abnormality.

Modality: Ultrasound

There is lobulated lesion is seen in region of interest.

Margin                          - Well-defined 

Size                             - apprroximately 8 x 6 x 5 cm

Location                       - Within muscle.

                                   - Superficial most part of the lesion close of subcutaneous fat. 

                                   

Morphology                   - Isoechoic to adjacent subcutanoeus fat

                                    - Hypochoic to adjacent muscle

                                    - Linear incomplete internal striations present

                                    - No calcification / cystic changes.

                                    - Partly compressible.

Dopplar                         - No Flow signals     

Case Discussion

Surgical excision was done.  On gross examination by surgeon, it was intra-muscular lipoma. Histopathological examination was not done.

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Case Information

rID: 43040
Case created: 20th Feb 2016
Last edited: 25th Feb 2016
Inclusion in quiz mode: Included

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