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Case Report| Volume 65, ISSUE 1, e11-e14, January 2012

Lipoma or liposarcoma? A cautionary case report

  • Author Footnotes
    d APJ and CJL contributed equally to this work. This work has not been presented in part or in total at any meetings.
    A.P. Jones
    Footnotes
    d APJ and CJL contributed equally to this work. This work has not been presented in part or in total at any meetings.
    Affiliations
    Department of Plastic Surgery, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, UK
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  • Author Footnotes
    d APJ and CJL contributed equally to this work. This work has not been presented in part or in total at any meetings.
    C.J. Lewis
    Correspondence
    Corresponding author. Tel.: +44 (0)7838 395 394.
    Footnotes
    d APJ and CJL contributed equally to this work. This work has not been presented in part or in total at any meetings.
    Affiliations
    Department of Plastic Surgery, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, UK
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  • P. Dildey
    Affiliations
    Department of Histopathology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, UK
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  • G. Hide
    Affiliations
    Department of Radiology, Freeman Hospital, High Heaton, Newcastle-upon-Tyne, NE7 7DN, UK
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  • M. Ragbir
    Affiliations
    Department of Plastic Surgery, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, UK
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  • Author Footnotes
    d APJ and CJL contributed equally to this work. This work has not been presented in part or in total at any meetings.
Published:August 24, 2011DOI:https://doi.org/10.1016/j.bjps.2011.08.004

      Summary

      MERRF syndrome (myoclonic epilepsy with ragged-red fibres) is a mitochondrial encephalomyopathy characterised by a mixed seizure disorder and myoclonus. The condition is associated with multiple large cervical lipomas that often require surgical excision.
      Comprehensive clinical examination combined with pre-operative radiographic imaging is vital in such cases to help differentiate benign fatty masses from potential liposarcomas. We describe a case in which a lipoma-like liposarcoma was identified following excision of what was expected, on clinical and radiological grounds, to be a lipoma. This case highlights the potential for sarcomatous changes in suspicious lipomas, and the key role that imaging plays in differentiating benign from malignant.

      Keywords

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