Case Report General Surgery Open Access Open Journal 54 Case Report | Volume I | Number 3| A Curious Case of Giant Lipoma Mohd Amir 1 , Sameer D 1 , Prathamesh P 1 , Dhanushree Nair 2 , Chatterjee S 1* 1 Department of General Surgery, Bombay Hospital, Mumbai, India 2 Jawaharlal Nehru Medical College, India *Correspondence to: Chatterjee S; Postgraduate Teacher, Bombay hospital Institute of Medical Sciences, Mumbai, India; Email: aparnasanjay@hotmail.com Received: Dec 4 th , 2020; Received: Dec 8 th , 2020; Accepted: Dec 21 st , 2020; Published: Dec 23 rd , 2020 Citation: Amir M, Sameer D, Prathamesh P, Nair D, Chatterjee S. A curious case of giant lipoma. Gen Surg Open A Open J. 2020; I(3): 54-56. doi: 10.33169/surg. GSOAOJ-I-115 ABSTRACT A lipoma is a fatty tissue tumor presenting as a painless, slow growing mass, that can affect any part of the body rich in adipose tissue. Lipomas can be present in the thigh, shoulder, trunk, etc. ey are usually small in size. e lipomas that are larger may, sometimes, transform into ma- lignancy. It may also hamper the quality of life as it can cause pain, prevent comfortable sleep, compress structures within its anatomical vicinity, lead to infections and so forth. Mass localization may also restrict body functions. Lipoma is described as “giant” beyond 1 kg of weight and 10 cm diameter. e diagnosis is primarily clinical. In this case, a 75-year old man presented with a huge swelling over his back, ranging from the leſt superior border of scapula to the leſt lumbar region, that has evolved over 15 years. e size and location of the lipoma prevented the patient from lying supine, sitting erect and made dressing problematic. e patient became extremely conscious of his physical appearance and preferred not to step out of his house. Aſter examination, the patient was taken into surgery where a 35cm × 23cm × 22cm mass weighing 3476 grams was successfully excised. Cosmetic and functional results of the surgery were excellent leaving the patient satisfied. Post-surgery the patient reports an improved quality of life. Keywords: Giant lipoma, Tumor. INTRODUCTION Lipomas are soſt masses that are generally painless, encapsulated and slow growing. Of these, very few grow to an exceptionally large size. Composed of mature adipose cells, these are the most common benign mesenchymal tumors. A lipoma is also called as universal tumor or ubiquitous tumor because it can be found in almost all the organs of the body where fat normally exists. 1,2 Superficial lipomas that are small in size give rise to simple surgical conditions, on the other hand, large and deep lipomas pose a bigger challenge both in terms of confirming the diagnosis and reaching a treatment plan that will bring out a satisfac- tory result when carried out. 3 A giant lipoma was defined by Sanchez et al as a lesion that measures at least 10 cm in one dimension or weighs a minimum of 1000 g. 4 e size and site of lesion influences the pre- sentation of a lipoma. ese mesenchymal neoplasms tend to appear most frequently in mature adults aged 40–60 years. 1 Lipomas are com- monly located on the back, neck and shoulder region and are seldom found on the face, scalp, or sternal region. 5-7 Most lipomas are small, weighing only a few grams and measuring less than 2 × 2 cm and may occur as a single lipoma or in multiple numbers. Giant lipomas are not very frequently logged. is report records the case of a patient who had difficulty carrying on his everyday life as the swelling made everyday activities into complex tasks.(Figure 1) CASE REPORT A 75-year-old man presented with a longstanding complaint of a huge gibbosity over the back causing difficulty while sitting in an erect posi- Figure 1. Giant lipoma over back