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The corresponding author presented a historical case of lipoma of the
breast in 1846. Here, recent cases of it are being drawn attention to from
several parts of the world including Nigeria. Thereafter, our joint works will
be presented as regards the Ibo ethnic group, which is domiciled in the South
Eastern Region of this developing country.
Keywords: Breast, Lipoma, History, Epidemiology
INTRODUCTION
The corresponding
author previously reported on a massive lipoma of the breast that was operated
on in 1846 by two eponymous giants [1]. Recent examples are here traced to
several countries such as Australia [2], Brazil [3,4], China [5], India [6,7],
Mexico [8], Taiwan [9] and USA [10]. Our home country, Nigeria, has also
featured [11]. Therefore, we present here as many as 4 cases from among our
Ethnic Group, the Ibos [12]. These cases were easily obtained from a Regional
Pathology Laboratory in keeping with the optimistic view of the Birmingham (UK)
group to the effect that the establishment of such a histopathology data pool
facilitates epidemiological analysis [13].
RESULTS
These are facilitated
by tabulation in Table 1.
DISCUSSION
It is curious that all
were left sided. As for the worldwide series, one case was not categorized,
whereas most were right sided. Can this be speculated on?
As for the ages, the
local range was from 21 years to 50 years with mean of 33 years, while the
previously reported Nigerian case was a 30 years old [11]. As can be concluded
with reference to the world pattern, it ranged from 28 years to 66 years with a
mean of 56 years. Clearly, younger elements are involved among our own people.
A point of interest
comes from the further classification of the world cases. They include the
“spindle” cell type in Australia [2] and the “chondroid” type in India (6).
Curiously, the name “Giant” is mostly carried by the growths reported from
Brazil [3,5], China [5], India [6,7], Mexico [8] and USA [10]. Since the
Brazilians defined “a giant breast lipoma is characterized by a lesion of at
least 5 cm in one dimension” [3], most of the local growths qualify as such.
Distinguished is the
Taiwan growth [9]. There, developed within it was an adenoid cystic carcinoma.
This led to the description of such having “never” been reported in the
literature.
Incidentally, a
Denmark group did study up to 108 women [14]. As they concluded, “Our proposal
for management is for any clinical diagnosis of lipoma to be continued by
either FNAC revealing fat cells or a core biopsy consistent with a lipoma.” In
our cases, full biopsy was carried out satisfactorily.
1.
Onuigbo WIB (2016)
Massive breast lipoma operated on by two eponymous giants in 1846. J Gynecol
Womens Health 1.
2.
Lew WYC (1993) Spindle
cell lipoma of the breast: A case report and literature review. Diagn
Cytopathol 9: 434-437.
3.
Ribeiro RC, Saltz R,
Quintera ELF (2008) Breast reconstruction with parenchymal cross after giant
lipoma removal. Aesthetic Plast Surg 32: 695-697.
4.
Aboudib JHC, Giaquinto
MGC, Carvalho EJC (2002) Giant breast lipoma: Case report. Rev Soc Bras Cir
Plast 17: 11-22.
5.
Li YF, Lv MH, Chen LF,
Wu YF (2011) Giant lipoma of the breast: A case report and review of the
literature. Clin Breast Cancer 11: 420-422.
6.
Jorwekar GJ, Baviskar
PK, Sathe PM, Dandekar KN (2012) Giant chondroid lipoma of breast. Indian J
Surg 74:342-343.
7.
Narwade N, Bagul A,
Narayan P, Khan N (2015) “Giant breast lipoma” an unusual presentation: A rare
case report. Int J Res Med Sci 3: 2851-2853.
8.
Ramirez-Montano L,
Vargas-Tellez E, Dajer-Fadel W, Maceda SE (2013) Giant lipoma of the breast.
Arch Plast Surg 40: 244-246.
9.
Kuo PH, Huang CS, Huang
WC, Kuo HS, Wang J (2008) Adenoid cystic carcinoma of the breast arising in a
lipoma mimicking hamartoma: Imaging manifestations and review of the
literature. Chin J Radiol 33: 37-40.
10.
Rodriguez LF, Shuster
BA, Milliken RG (1997) Giant lipoma of the breast. Br J Plast Surg 50: 263-265.
11.
Nwashili NJ, Ugiagbe EE
(2016) Lipoma of the breast: An uncommon occurrence. Niger J Surg Sci 26:
12-14.
12.
Basden GT (1966) Among
the Ibos of Nigeria. London: Frank Cass.
13.
Macartney JC, Rollaston
TP, Codling BW (1980) Use of a histopathology data pool for epidemiological
analysis. J Clin Pathol 33: 351-355.
14.
Lanng C, Eriksen BO,
Hoffmann J (2004) Lipoma of the breast: A diagnostic dilemma. Breast 13:
408-411.
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