1998 Volume 52 Issue 2 Pages 267-270
A 59-year-old man was admitted to our department complaining of a right neck swelling. The preoperative diagnosis was lipoma based on clinical findings as well as the image findings of CT scan and MRI. The tumor was excised through a cervical skin incision under general anesthesia. It lay between the platysma and the superficial layer of the cervical facia. Because it was difficult to separate the tumor from the parotid gland, we had to excise the tumor with a part of the parotid grand. The extirpated yellow and soft specimen weighed 92g and was 15×7×5cm in size. Histologically, mature adipose cells were arranged like the meshes of a net and there was no finding of malignancy, but some tumor cells infiltrated into the palotid grand. Although lipomas are common cervical benign tumors, such a case of lipoma infiltrating into the parotid grand has not been reported. In this patient, the postoperative course was good and there has been no recurrence.
