Friday, March 20, 2009

a sac with lipid




45 years old male comes to GP complaining of slowly enlarging swelling on his upper back. However, he says that it is painless.

On examination: The mass is well marginated, non-tender, mobile and soft in consistency.

If you are the GP incharged,

What is the most likely diagnosis?
Lipoma

Please describe the histology above.
Presence of proliferated white fat cells
There is no pleomorphism seen

What do you expect to find in the x-ray?
Well circumscribed, homogenous and similar density as adjacent fat

What would you offer to him as a treatment?
Complete resection of the lipoma


So, a bit info on LIPOMA

Benign soft tissue tumor which is common among adult (40-70 years).
M > F [kalo tumor2 tulang ni, banyak yang affected is MALE]

–Sites:
• Subcutis
• Upper back
• Shoulder or neck

p/s: Ainaa, ingat x kes ni time kita 1st year? the feeling of touching the "lipid sac"?

sharing is caring 5 :)


Wassalam.

4 comments:

ainaa ismail on March 20, 2009 at 12:25 PM said...

of course ingat=p

na,from this history and PE,ada tak sspecial finding untuk nrrow to disease?
i think,from the finding,it is only a benign tumor je.onley histological examination ke kita bleh tau itu lipoma

yup,lipoma lembut mcm peganng belon berisi air=p

Ibnu Shaukani on March 20, 2009 at 2:49 PM said...

lembut ke? x penah pegang..tp mobile x?

`Aainaa Nur Raihana Abdullah on March 20, 2009 at 5:30 PM said...

apart from histo.. dunno laa.. huhu~ sorry, can't help you, miss ainaa..

to mr azizi.. itu laa.. sapa suh nama hang mula dgn huruf m.. kami pegi KRK dulu time 1st year.. kebetulan ada sorg pak cik ni dtg and dr bagi kami pegang lipoma tu.. kalo nak rasa mobile ke x, pi pg beli belon, then isi air, rasa mobile ke x.. hehe~

ada hikmah rupanya program A Day In Doctor's Life.. at last, nampak gak hikmah sebalik program yg pernah dianggap wasting time tu.. huhu~

Ibnu Shaukani on March 20, 2009 at 7:48 PM said...

haa, itu la..hikmah tu kita tak nampak sekarang..kalu tgk pakai mikroskop pun xkan nampak punye..hehehe..

cuma, when we have reached until this stage, baru kte tahu hikmahnya kan..hmm..sabar itu indah~

 

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