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Journal of Case Reports
Fibrolipoma of the Rib: A Case Report and Review of the Literature
Shantanu Pande1, Zaeba Nayeem2, Bhagat Singh Lali1, Zachariah Chowdhury1, Deepak Kumar Singh1
1Homi Bhabha Cancer Hospital and Mahamana Pandit Madan Mohan Malviya Cancer Center, Sunder Bagiya, BHU campus, Varanasi, Uttar Pradesh, India, 221005; 2Tata Memorial Hospital, Dr E Borges Road, Parel, Mumbai, India.
Corresponding Author:
Dr Shantanu S. Pande 
Email: quantnucmed@gmail.com
Received: 22-MAR-2021 Accepted: 22-JUL-2021 Published Online: 05-AUG-2021
DOI: http://dx.doi.org/10.17659/01.2021.0043
Background: Fibrolipoma is a rare histological variant of lipoma and although fibrolipomas of the oral cavity have been reported, only a few cases of fibrolipoma of the thoracic region have been published. Case Report: A 49-year-old man presented with pain and a lump in the left side chest. After initial evaluation, CT followed by PET/CT were acquired. The scan findings were suggestive of a benign lipomatous tumor of the left 4th rib; however, malignant transformation could not be ruled out. Hence, excision of the rib lesion with mesh repair and flap reconstruction was performed. Post-operative histopathology was suggestive of a fibrolipoma with absence of atypia or mitosis. Radiological and pathological findings and management of the case are discussed below. Conclusion: Follow-up of such rare tumors are essential to detect recurrence as knowledge about the behavior of these tumors is limited.
Keywords : Lipoma, Male, Pain, Ribs, Surgical Mesh, Thorax.
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