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Very large lipoma

Case contributed by Sajoscha A. Sorrentino
Diagnosis certain

Presentation

Patient with known lipoma, culturing it over the last 15 years or so.

Patient Data

Age: 70
Gender: Male
ct

A large fatty mass is present deep to the trapezius with internal heterogenicity and irregular calcifications centrally. 

Case Discussion

This case shows a very large, slow growing lipoma which was histologically confirmed to be benign.  The differential, given its complex appearance, is a liposarcoma.

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