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- W2000637560 abstract "Dear Editor:We read with interest the article by Kim et al. [1]onregrowing lipoma in lipomyelomeningocele (LMMC). It isindeed a very interesting clinical phenomenon.We would like to make some pertinent observations.LMMC with a growing lipoma may represent a relativelybenignsituationunlessthepatientbecomessymptomaticagain.We illustrate a differential diagnosis to this condition thatwe have recently encountered in our experience.A 7-year-old boy with a history of detethering surgery at2 years of age at a hospital abroad for LMMC presented to uswith worsening neurological symptoms and signs. Hispathological diagnosis documented then was “fibrolipoma.”Magnetic resonance imaging revealed a low-lying cord with aconus medullaris lesion with hypointense cystic area andlipoma (Fig. 1). With a provisional diagnosis of retethering, anexploration was performed. The exploration revealed adermoidoftheconus,withallitsclassicalpathologicalfeatures.In the event of patient operated for LMMC becomingsymptomatic, undoubtedly, retethering would remain theprimary diagnosis. Along with a growing lipoma, adiagnosis of a dermoid at the location should also beconsidered. A predominantly lipid containing dermoid dueto its content may mimic a LMMC on routine MRsequences [2]. In addition, there have also been casereports of a co-existence of these two pathologies [3].Hence, caution should be exercised before a radiologicaldiagnosis of a growing lipoma is made. The possibility ofdermoid adds a dimension to patient counseling, surgicalplanning, and to the long-term prognosis.References" @default.
- W2000637560 created "2016-06-24" @default.
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- W2000637560 date "2009-09-09" @default.
- W2000637560 modified "2023-09-26" @default.
- W2000637560 title "A differential diagnosis to “growing lipoma”" @default.
- W2000637560 cites W1970224172 @default.
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- W2000637560 doi "https://doi.org/10.1007/s00381-009-0980-x" @default.
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