A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit

Intraneural lipomas in peripheral nerves of cervical lesions are extremely rare and have not been previously reported. We present a 48-year-old male with a gradually increasing right cervical mass since 5 years. He visited our department because of pain and difficulty in raising the right upper limb...

Full description

Saved in:
Bibliographic Details
Main Authors: Hitoshi Sato, Yoshiro Saito, Tatsuya Kitajima, Shunya Egawa, Toshikazu Shimane
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2022/4618731
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832551023382626304
author Hitoshi Sato
Yoshiro Saito
Tatsuya Kitajima
Shunya Egawa
Toshikazu Shimane
author_facet Hitoshi Sato
Yoshiro Saito
Tatsuya Kitajima
Shunya Egawa
Toshikazu Shimane
author_sort Hitoshi Sato
collection DOAJ
description Intraneural lipomas in peripheral nerves of cervical lesions are extremely rare and have not been previously reported. We present a 48-year-old male with a gradually increasing right cervical mass since 5 years. He visited our department because of pain and difficulty in raising the right upper limb. A tumor about 80 mm in size was palpable in the right neck along the cervical nerve. The tumor was suspected to involve fatty degeneration in schwannoma of cervical nerve origin, for which intercapsular resection was performed under general anesthesia. Histopathologically, bifurcated growth of mature adipocytes with sparse fibrous septa and lack of tumor proliferation of Schwann cells was observed on H&E staining, suggesting a diagnosis of intraneural lipoma. The patient had no new motor or sensory deficits postoperatively and with improvement in his preoperative symptoms.
format Article
id doaj-art-0ea4eecd10e14589a08b3e5e9d20e337
institution Kabale University
issn 2090-6773
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-0ea4eecd10e14589a08b3e5e9d20e3372025-02-03T06:05:01ZengWileyCase Reports in Otolaryngology2090-67732022-01-01202210.1155/2022/4618731A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological DeficitHitoshi Sato0Yoshiro Saito1Tatsuya Kitajima2Shunya Egawa3Toshikazu Shimane4Department of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryShowa University Head and Neck Oncology CenterDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryIntraneural lipomas in peripheral nerves of cervical lesions are extremely rare and have not been previously reported. We present a 48-year-old male with a gradually increasing right cervical mass since 5 years. He visited our department because of pain and difficulty in raising the right upper limb. A tumor about 80 mm in size was palpable in the right neck along the cervical nerve. The tumor was suspected to involve fatty degeneration in schwannoma of cervical nerve origin, for which intercapsular resection was performed under general anesthesia. Histopathologically, bifurcated growth of mature adipocytes with sparse fibrous septa and lack of tumor proliferation of Schwann cells was observed on H&E staining, suggesting a diagnosis of intraneural lipoma. The patient had no new motor or sensory deficits postoperatively and with improvement in his preoperative symptoms.http://dx.doi.org/10.1155/2022/4618731
spellingShingle Hitoshi Sato
Yoshiro Saito
Tatsuya Kitajima
Shunya Egawa
Toshikazu Shimane
A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
Case Reports in Otolaryngology
title A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
title_full A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
title_fullStr A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
title_full_unstemmed A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
title_short A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit
title_sort case of cervical intraneural lipoma that was removed by intercapsular resection with no resultant postoperative neurological deficit
url http://dx.doi.org/10.1155/2022/4618731
work_keys_str_mv AT hitoshisato acaseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT yoshirosaito acaseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT tatsuyakitajima acaseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT shunyaegawa acaseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT toshikazushimane acaseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT hitoshisato caseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT yoshirosaito caseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT tatsuyakitajima caseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT shunyaegawa caseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit
AT toshikazushimane caseofcervicalintraneurallipomathatwasremovedbyintercapsularresectionwithnoresultantpostoperativeneurologicaldeficit