OJCD  Vol.3 No.2 , June 2013
Infiltrating angiolipoma of the thoracic wall: A case report

We describe a case of infiltrating angiolipoma of the thoracic wall, which is an extremely unusual site for this tumor. Infiltrative angiolipoma is a rare benign soft tissue tumor that commonly affects the extremities and the trunk. This is the first report of infiltrative angiolipoma that affects this site. Magnetic resonance imaging (MRI) revealed a high intensity signal on T2-weighted images and contrast enhanced images showed moderate enhancement effect that mimicked tumors of neurogenic or vascular origin. Angiolipoma should be included in a differential diagnosis of the thoracic wall tumor with T2 high intensity signal and contrast enhancement that is not typical shape and signal for neurogenic tumor or hemangioma.

Cite this paper: Hamano, A. , Suzuki, K. , Saito, T. , Kuwatsuru, R. , Oh, S. and Suzuki, K. (2013) Infiltrating angiolipoma of the thoracic wall: A case report. Open Journal of Clinical Diagnostics, 3, 19-22. doi: 10.4236/ojcd.2013.32005.

[1]   Gonzalez-Crussi, F., Enneking, W.F. and Arean, V.M. (1966) Infiltrating angiolipoma. Journal of Bone and Joint Surgery American, 48, 1111-1124.

[2]   Lin, J.J. and Lin, F. (1974) Two entities in angiolipoma. A study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer, 34, 720-727. doi:10.1002/1097-0142(197409)34:3<720::AID-CNCR2820340331>3.0.CO;2-K

[3]   Arenaz, B.J., Luaces, R., Lorenzo, F.F., Garcia-Rozado, A., Crespo, E.J.L., Fronseca, C.E. and Lopez-Cedrun, J.L. (2010) Angiolipoma in head and neck: Report of two cases and review of the literature. International Journal of Oral and Maxillofacial Surgery, 39, 610-615. doi:10.1016/j.ijom.2009.12.021

[4]   Murphey, M.D., Carroll, J.F., Flemming, D.J., Pope, T.L., Gannon, F.H. and Kransdorf, M.J. (2004) From the archives of the AFIP: Benign musculoskeletal lipomatous lesions. Radiographics, 24, 1433-1466. doi:10.1148/rg.245045120

[5]   Matsuoka, Y., Kurose, K., Nakagawa, O. and Katsuyama, J. (1988) Magnetic resonance imaging of infiltrating angiolipoma of the neck. Surgical Neurology, 29, 62-66. doi:10.1016/0090-3019(88)90124-3

[6]   Hochhegger, B., Marchiori, E., dos Reis, D.Q., Souza Jr., A.S., Souza, L.S., Brum, T. and Irion, K.L. (2012) Chemical-shift MRI of pulmonary hamartomas: Initial experience using a modified technique to assess nodule fat. American Journal of Roentgenology, 199, W331-W334. doi:10.2214/AJR.11.8056

[7]   Albert, T.J., Levine, M.J., Balderston, R.A. and Cotler, J.M. (1991) Gastrointestinal complications in spinal cord injury. Spine, 16, S522-S525. doi:10.1097/00007632-199110001-00013

[8]   Lynch, A., Antony, A., Dobbs, B. and Frizelle, F. (2001) Bowel dysfunction following spinal cord injury. Spinal Cord, 39, 193-203. doi:10.1038/

[9]   Gore, R.M., Mintzer, R.A. and Calenoff, L. (1981) Gastrointestinal complications of spinal cord injury. Spine, 6, 538-544. doi:10.1097/00007632-198111000-00002

[10]   Walters, K. and Silver, J. (1986) Gastrointestinal bleeding in patients with acute spinal injuries. Disability & Rehabilitation, 8, 44-47. doi:10.3109/03790798609166511

[11]   Charney, K.J., Juler, G.L. and Comarr, A.E. (1975) General surgery problems in patients with spinal cord injuries. Archives of Surgery, 110, 1083. doi:10.1001/archsurg.1975.01360150027005

[12]   Galandiuk, S., Raque, G., Appel, S. and Polk Jr., H.C. (1993) The two-edged sword of large-dose steroids for spinal cord trauma. Annals of Surgery, 218, 419. doi:10.1097/00000658-199310000-00003

[13]   Soderstrom, C. and Ducker, T. (1985) Increased susceptibility of patients with cervical cord lesions to peptic gastrointestinal complications. The Journal of Trauma, 25, 1030-1038.

[14]   Leramo, O.B., Tator, C.H. and Hudson, A.R. (1982) Massive gastroduodenal hemorrhage and perforation in acute spinal cord injury. Surgical Neurology, 17, 186-190. doi:10.1016/0090-3019(82)90273-7