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1- Chacha Nehru Bal Chikitsalya, Geeta Colony, Delhi-110031, India
2- Chacha Nehru Bal Chikitsalya, Geeta Colony, Delhi-110031, India ,
3- Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, Geeta Colony, Delhi-110031
Abstract:   (117 Views)
Introduction: Adipocytic tumours and its variants are common neoplasms of adults, however are extremely uncommon in paediatric age group.  Lipoblastoma typically occurs in children and diagnosed by the presence of a multivacuolated lipoblast however, the difficulty arises when one has to search for these lipoblasts in a background of classical lipoma. Such cases are misdiagnosed and managed inappropriately. We report the first case of a congenital lipoma like lipoblastoma with an unusual presentation.
Case Report: A ten-day old male presented to the Paediatric surgery outpatient department with a mass in the perianal region since birth. On examination, the mass was non-tender, pedunculated and located at the margin of anal opening A provisional clinical diagnosis of anal tag was made and swelling was excised. Grossly, we received a skin covered soft tissue mass measuring 1.2 cms in diameter.. Cut section, was yellow and soft to firm. Histopathological examination showed a well-delineated moderately cellular lesion comprising of lobules of adipocytes in varying stages of maturation, large number of mature adipocytes and few interspersed multivacuolated lipoblasts. A final diagnosis of lipoma like lipoblastoma was given.
Conclusion: Lipoma like Lipoblastoma can be seen as a congenital mass and at unusual sites like perianal region. An accurate diagnosis of this entity is essential for appropriate management. Histopathology is gold standard for diagnosis and hence the need for increased awareness.
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Type of Study: Case Report and Review of Literature | Subject: Pathology
Received: 2019/07/25 | Accepted: 2019/08/18

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