Infiltrating angiolipoma of the thoracic wall: A case report

Ayako Hamano, Kazuhiro Suzuki, Tsuyoshi Saito, Ryohei Kuwatsuru, Shiaki Oh, Kenji Suzuki

Department of General Thoracic Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Department of Human Pathology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Department of Radiology, Faculty of Medicine, Juntendo University, Tokyo, Japan.

DOI: 10.4236/ojcd.2013.32005                

Abstract

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.

Keywords

Infiltrating Angiolipoma; Chest Wall Tumor; Computed Tomography; Magnetic Resonance Imaging

Conflicts of Interest

The authors declare no conflicts of interest.

References

[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/sj.sc.3101119
[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