• Users Online: 420
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
Year : 2021  |  Volume : 6  |  Issue : 1  |  Page : 14-16

Symptomatic giant axillary lipoma

Department of Chest Surgery, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Date of Submission04-Jan-2022
Date of Decision03-Mar-2022
Date of Acceptance06-Apr-2022
Date of Web Publication24-Dec-2022

Correspondence Address:
Dr. Ahmet Dumanli
Department of Chest Surgery, Afyonkarahisar Health Sciences University, Afyonkarahisar
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njct.njct_1_22

Rights and Permissions

Lipomas are common mesenchymal soft tissue tumors found mostly on the trunk and extremities. They are rarely seen in the axilla, where a large-sized tumor can result in neurovascular compression with resultant symptoms. We report a rare case of giant lipoma located in the left axilla with extension to the supraclavicular region, causing pain and numbness in the left arm. A 66-year-old male presented with numbness and tingling in the left arm, shoulder pain, and loss of strength for about 7 years. He underwent a resection of the mass via a supraclavicular incision with subsequent resolution of his symptoms at follow-up. Final pathology confirmed a lipoma.

Keywords: Axillary lipoma, giant, supraclavicular incision

How to cite this article:
Dumanli A, Aydin S, Öz G, Gencer A. Symptomatic giant axillary lipoma. Niger J Cardiovasc Thorac Surg 2021;6:14-6

How to cite this URL:
Dumanli A, Aydin S, Öz G, Gencer A. Symptomatic giant axillary lipoma. Niger J Cardiovasc Thorac Surg [serial online] 2021 [cited 2023 May 29];6:14-6. Available from: https://journals.lww.com/njct/pages/default.aspx/text.asp?2021/6/1/14/365218

  Introduction Top

Lipomas are common benign soft tissue tumors.[1],[2] It is generally of mesenchymal origin and most frequently found in the extremities and trunk. They are generally asymptomatic and most measure about 2 cm in diameter and rarely grow above 10 cm.[3],[4] Even though small, they may produce compression symptoms depending on their location. They are rarely seen in the axilla, especially giant lipomas.

  Case Report Top

A 66-year-old male patient had been treated at various clinics for approximately 7 years with complaints of numbness and tingling in the left arm and pain in the arm and shoulder region, unresponsive to medical treatment. The patient was subsequently referred to another facility with the complaint of sudden swelling in the left supraclavicular region, and a computed tomographic (CT) scan revealed a tumor extending from the left axilla to the supraclavicular region compatible with a lipoma [Figure 1]. The patient was then referred to our center for surgical evaluation. He subsequently underwent surgical resection through a 4 cm left supraclavicular incision under general anesthesia. The tumor was encapsulated and macroscopically consistent with a lipoma [Figure 2]. It was dissected from the surrounding tissues using both blunt and sharp dissection and then removed in one piece and measured approximately 12 cm in length [Figure 3]. The pathology report confirmed a lipoma. At follow-up visit 1 month later, the patient reported resolution of all his preoperative symptoms [Figure 4]. Postoperative chest CT scan showed no residual tumor [Figure 5].
Figure 1: Lipoma image extending from the left axilla to the supraclavicular region on computed tomography.

Click here to view
Figure 2: Intraoperative picture.

Click here to view
Figure 3: Excised tumor.

Click here to view
Figure 4: Postoperative image.

Click here to view
Figure 5: Postoperative computed tomographic scan.

Click here to view

  Discussion Top

Lipomas are benign tumors consisting of mature lipocytes. With an incidence of approximately 10%, they are the most common mesenchymal tumors, occurring in any part of the body.[3],[5] They are often found on the arm and body.[6] Most of them are about 2 cm in diameter, and they rarely grow over 10 cm in cutaneous localizations. Many are asymptomatic, but large tumors can cause compression symptoms.[2] Lipomas have also been seen in organs with no adipose tissue such as lung, liver, uterus, and kidney.[7] Giant lipomas are rarely reported in different parts of the body.[8] The axilla is a rare site for lipomas and giant axillary lipomas are even rarer. Resection is indicated when symptomatic from compression of surrounding neurovascular structures.

There have been a few reports of symptomatic axillary lipomas in five patients with ages ranging from 15 to 70 years who required surgical resection.[1],[2],[8],[9]

Different imaging studies have been used in diagnosis. Magnetic resonance imaging and ultrasound have been utilized as diagnostic tools in some reports,[1],[8] while a CT scan was diagnostic in our patient. The CT scan showed the soft tissue tumor extending from the axilla to the supraclavicular region, which was subsequently resected through a supraclavicular incision with the resolution of symptoms.

Consideration should be given to resection of giant axillary lipomas even if asymptomatic to prevent subsequent compression on surrounding neurovascular structures and to make a definitive pathological diagnosis.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

  References Top

Nakamura Y, Teramoto Y, Sato S, Yamada K, Nakamura Y, Fujisawa Y, et al. Axillary giant lipoma: A report of two cases and published work review. J Dermatol 2014;41:841-4.  Back to cited text no. 1
Bashir M, Zaki IA, Mahajan MK. Giant axillary lipoma following excision. Indian J Surg 2013;75:158-9.  Back to cited text no. 2
Meson H. Lipoma in clinical dermatology. Clin Dermatol 1991;4:1-2.  Back to cited text no. 3
Enzinger FM, Weiss SW. Benign lipomatous tumors. In: Enzinger FM, Weiss SW, editors. Soft Tissue Tumors. 2nd ed. St. Louis: Mosby; 1988. p. 301-45.  Back to cited text no. 4
Salvatore C, Antonio B, Del Vecchio W, Lanza A, Tartaro G, Giuseppe C. Giant infiltrating lipoma of the face: CT and MR imaging findings. AJNR Am J Neuroradiol 2003;24:283-6.  Back to cited text no. 5
Aydogdu E, Yıldırım S, Eker G, Akoz T. Giant lipoma of the back. Dermatol Surg 2004;30:121.  Back to cited text no. 6
Lanza G. Anatomia Patologica Sistematica, 2nd ed. Piccin, 1985. p.2262.  Back to cited text no. 7
Pattanayak S, Pramanik S. Giant axillary lipoma – A rare case report with review of literature. Hellenic J Surg 2014;86:383-5.  Back to cited text no. 8
Baid A, Jain P, Pandey S, Ranjan R, Krishnamurty, Kansal S, et al. Recurrent axillary giant lipoma: A rare case report. IOSR J Dent Med Sci 2016;15:75-80.  Back to cited text no. 9


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]


Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
Case Report
Article Figures

 Article Access Statistics
    PDF Downloaded2    
    Comments [Add]    

Recommend this journal