PMC6010927_01
Intraoperative picture of the fibrolipoma.
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T2-weighted sequences by fat-suppression techniques revealed a 125- x 72- x 46-mm thinly septated subpectoral hypodense mass extending from the neck to the anterior left hemithorax. The ovoidal well capsulated the mass in the retroclavicular and subclavicular regions, between the axillary artery and the vein, displaced the axillary-subclavian bundle anteriorly without extension into the neural foramina (Fig. 1). The lesion compressed the brachial plexus and was consistent with either a lipoma or liposarcoma. After obtaining informed consent from the patient, surgery (i.e., excision of the fibrolipoma) was performed using the anterior neck approach, and the mass was completely removed (Fig. 1, Fig. 2).
Intraoperative picture of the fibrolipoma.
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The patient was discharged on the second postoperative day and his general condition was good and he was symptom-free at 1-month follow-up (Fig. 2).
Fibrolipoma with a fibrous tissue bundle interspersed among lobules of mature adipocytes. Hematoxylin-eosin staining, original magnification 20.
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A specimen was submitted for histopathological examination and was reported to demonstrate features consistent with fibrolipoma (Fig. 3, Fig. 4).