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Vulvar lipomas in children: an analysis of 7 cases

Authors
 Jung-Tak Oh  ;  Seung Hoon Choi  ;  Sung Gui Ahn  ;  Myung Joon Kim  ;  Woo Ick Yang  ;  Seok Joo Han 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.44(10) : 1920-1923, 2009 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2009
MeSH
Age Factors ; Child ; Diagnosis, Differential ; Female ; Functional Laterality ; Hernia, Inguinal/diagnosis ; Humans ; Korea/epidemiology ; Lipoma/diagnosis* ; Lipoma/pathology ; Lipoma/surgery ; Magnetic Resonance Imaging/statistics & numerical data ; Retrospective Studies ; Soft Tissue Neoplasms/diagnosis ; Soft Tissue Neoplasms/pathology ; Soft Tissue Neoplasms/surgery ; Tomography, X-Ray Computed/statistics & numerical data ; Treatment Outcome ; Ultrasonography/statistics & numerical data ; Vulvar Neoplasms/diagnosis* ; Vulvar Neoplasms/pathology ; Vulvar Neoplasms/surgery
Keywords
Vulva ; Lipoma ; Children
Abstract
PURPOSE: Vulvar lipomas are a type of rare benign soft tissue tumor. This study describes 7 cases of vulvar lipomas in children, and it evaluates the clinical characteristics of this disease. METHOD: We performed a retrospective review of pediatric patients at our institution who were diagnosed with vulvar lipomas between January 1998 and December 2007. RESULTS: Seven girls who were between the ages of 7 and 11 years were included in the study. In 6 cases, the lipomas were located on the right side of the vulva. In 4 of those 6 cases, the lipomas were found on the right anterolateral side. Five cases had gross swelling of the vulva with a poorly demarcated mass, but 2 cases had a well-demarcated or pedunculated mass. The initial tentative diagnoses made before imaging studies were right inguinal hernia in 4 cases and Bartholin's cyst in 2 cases. Preoperative imaging studies of ultrasound, computed tomography, and magnetic resonance imaging showed lipomatous characteristics of these tumors. All cases underwent surgical excision. Subsequent histopathologic examination demonstrated lipomas in each case. CONCLUSIONS: Vulvar lipomas in children tend to occur on the right side, especially the right anterolateral side. It is necessary to differentiate this tumor from an inguinal hernia. Radiologic studies such as ultrasonography, computed tomography, and magnetic resonance imaging are useful for making the proper diagnosis. Surgical excision is the treatment of choice.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346809001985
DOI
10.1016/j.jpedsurg.2009.02.063
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myung Joon(김명준) ORCID logo https://orcid.org/0000-0002-4608-0275
Ahn, Sung Gwe(안성귀) ORCID logo https://orcid.org/0000-0002-8778-9686
Yang, Woo Ick(양우익) ORCID logo https://orcid.org/0000-0002-6084-5019
Oh, Jung Tak(오정탁)
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105187
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