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Case Reports
. 2007 Apr;28(4):615-7.

Intraosseous lipoma of the left frontoethmoidal sinuses and nasal cavity

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Case Reports

Intraosseous lipoma of the left frontoethmoidal sinuses and nasal cavity

W M A Abdalla et al. AJNR Am J Neuroradiol. 2007 Apr.

Abstract

Intraosseous lipomas are very rare slow-growing benign tumors that may appear as congenital lesions or may be acquired (metaplasia from a pre-existing lipoma). Only a handful of head and neck cases have been reported in the literature. We present the first reported case of a solitary osteolipoma involving the sinonasal tract in a 66-year-old man with sinonasal symptoms. CT showed a lesion involving the left frontal sinus, extending into the ethmoid sinus with insinuation along the left middle turbinate. It appeared to be an atypical mass with areas of high attenuation (calcification) within.

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Figures

Fig 1.
Fig 1.
A, Coronal CT scan of the paranasal sinuses (bone window setting) shows the osteolipoma passing through the left ethmoidal sinus into the left nasal cavity. B and C, Coronal CT scan of the paranasal sinuses (bone window setting) (B) and sagittal reformatted image (C) show the osteolipoma based on the roof of the left frontal sinus.
Fig 2.
Fig 2.
Low-power photomicrograph (hematoxylin-eosin, original magnification ×40) shows mature adipose tissue surrounding spicules of lamellar bone.
Fig 3.
Fig 3.
A and B, Follow-up coronal CT scans (bone window setting) show regrowth of the osteolipoma.
Fig 4.
Fig 4.
A and B, Preoperative (A) and postoperative (B) views of the left nasal cavity.

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