DOI: 10.36347/sjams.2017.v05i11.089

Pages: 4761-4768

Lipomas are slow growing soft tissue mesenchymal tumor. Size of lipoma greater than 5 cm is known as giant lipoma. We prospectively analysed 498 cases of lipoma during the study period of January, 2014 to December, 2015. Out of 498 cases, giant lipomas were found in 21 cases. In our case series, the size of lipoma in all cases were more than 10 cm in any one dimension. Out of 21 cases, in 15 (71%) cases lipoma located subcutaneously and in 6(29%) cases intramuscularly. All cases underwent excision of the mass with primary closure. Histopathology report of 19(90.47%) patients were benign lipoma and in 2(9.52%) patients well differentiated liposarcoma. Recurrence was reported in 2(9.52%) cases in 2 years of followup. So, lipoma size greater than 5 cm in any one dimension warrants a workup for malignancy.