DOI: 10.36347/sjmcr.2020.v08i06.001

Pages: 598-600

Introduction: Solitary lipoma is the most common soft tissue tumor. It is a benign proliferation of mature adipocytes. The functional squatting and social discomfort motivates surgical removal after eliminating the malignant degeneration. Case Report: We report the case of a 64-year-old diabetic, hypertensive patient under treatment who was referred to us for the management of a pre-patellar lipoma measuring 96 × 53 × 80 mm. Physical examination showed a massive tumor with a lipomatous consistency. Nuclear magnetic resonance imaging (MRI) shows no signs of malignancy. Intraoperatively, removal of the tumor was without difficulty with a cleavage plane between the skin and the tumor. Now the patient is relieved of the overweight on his knee and can perform his squatting movements. Conclusion: Although benign in nature, large lipoma is often a source of significant functional discomfort. Its treatment is surgical. The surgeon’s obsession remains the malignant degeneration whose risk is proportional to the size of the lipoma.