Fibrolipoma of the nasal septum; report of the first case.docVIP

Ozturketal.JournalofOtolaryngology-HeadandNeckSurgery2013,42:11 /content/42/1/11 CASE REPORT OpenAccess Fibrolipomaofthenasalseptum;reportofthe firstcase MuratOzturk1,2*,KadriIla1,AhmetKara1andMeteIseri1 Abstract Background/Objective:Fibrolipomasareararesubtypeoflipomasandveryrareintheoralandmaxillofacial region.Lipomasaffectingthecentralnervoussystemareevenmoreinfrequentoccurringwithafrequencyof0.1%. Studydesign,methods:Casereport. Casepresentation:Thisreportincludesapatientwhohadanasalseptalfibrolipomaandanaccompanying corpuscallosumlipoma. Conclusions:Toourknowledge,thisisthefirstreportednasalseptalfibrolipomacaseintheliterature.The diagnosticandsurgicalfeaturesofthiscaseandtheunityofseptalfibrolipomaandintracraniallipomasare discussed. Keywords:Nasalobstruction,Lipoma,Nasalseptum Background ofthenasalseptumtotheposterior(Figure1).Theright Lipomas are benign, slowly growing neoplasms com- nasalcavitywasdeemednarrowedduetothecompression posedofmaturefatcellsgroupedinlobulesbyconnect- effect of the mass. The computed tomography (CT) ive tissue septa. These tumors are very rare in the showeda25x12mmsizedlowdensitymassintheseptum sinonasal tract [1]. Fibrolipomas are avery rare subtype (Figure2A).Magneticresonanceimaging(MRI)presented ofthelipomas,composing%1,6ofthefaciallipomas[2]. a 22x12 mm lesionwithhighsignal intensityinbothT1 Intheliterature;therearecasesreportedasfibrolipomas andT2weightedimages(Figure2B).Theimagerevealed in the esophagus, pharynx, colon, trachea, larynx and a suppression pattern on the fat-suppressed MRI. The oral cavity [3]. This article presents a patient with nasal same investigation also revealed a 18 mm thick, 51 mm septal fibrolipoma, and to the knowledge of the long lipoma at the falx cerebri that pushed the corpus researchers, it is the first reported nasal septal case in callosum and anteroposteriorly reached the cingulate theliterature. gyrus(Figure2C).Anincisionalbiopsywasperformedon the mass under loc