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Benign symmetric lipomatosis, also known as Madelung's disease, is an adult-onset skin condition characterized by extensive symmetric fat deposits in the head, neck, and shoulder girdle area. [1] The symmetrical fat deposits are made of unencapsulated lipomas , which distinguishes it from typical lipomatosis which has encapsulated lipomas that ...
A neck mass or neck lump is an ambiguous mass found in the neck area. There are many different possible causes, [1] including head and neck cancer [2] and congenital conditions like branchial anomalies and thyroglossal duct cysts. [3]
Around 2% of the general population has a lipoma. [2] These tumors can occur at any age, but are most common in middle age, often appearing in people from 40 to 60 years old. [27] Cutaneous lipomas are rare in children, but these tumors can occur as part of the inherited disease Bannayan-Zonana syndrome. [40] [41]
The white tumor infiltrates the adjacent skeletal muscle (red tissue – lower left) and fat (yellow tissue – upper left). This tendency for invasion of adjacent normal tissues and structures is the reason that desmoid-type fibromatosis has a relatively high rate of local recurrence, even after surgical removal.
Thyroglossal cyst usually presents as a midline neck lump (in the region of the hyoid bone) that is usually painless, smooth and cystic, though if infected, pain can occur. There may be difficulty breathing, dysphagia (difficulty swallowing), or dyspepsia (discomfort in the upper abdomen), especially if the cyst becomes large.
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This is a rare tumor, presenting over a wide age range, but usually in the third to fifth decades of life. There is a slight male predilection, although this is not seen in syndrome-associated patients. The most common site is the posterior neck, but may also be seen in other sites (extremities, lumbosacral area, buttocks, face). [1]
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