DOI: 10.36347/sjmcr.2023.v11i07.024

Pages: 1419-1420

Lipomas are the most frequent benign tumors in practice. The absence of specific clinical symptomatology is frequent allows the lipoma to grow silently, until it reaches a large size before the diagnosis and the doctor must include malignant soft tissue tumors in the differential diagnosis. We report the observation of a 40-year-old patient, who presented a painless swelling of the left thigh evolving for 13 years gradually increasing in volume. All evolving in a context of conservation of the general condition. A lipoma has been mentioned, but a liposarcoma still remains to be eliminated. The MRI did not find signs of malignancy, it made it possible to confirm the fatty nature of the tumor. an anterior ultrasound biopsy centered on the tumor, confirmed the result of the MRI. The excision of the tumor in its entirety was carried out by taking away the scar from the biopsy and respecting all the anatomical elements of the thigh. The pathological-anatomical analysis confirmed the diagnosis of lipoma. A step back of 2 years, the patient is asymptomatic, and the MRI showed no recurrence or malignant degeneration.