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. 2008 Nov;18(4):306-9.
doi: 10.4103/0971-3026.43847.

Case Report: Congenital infiltrating lipomatosis of face

Rangasami Rajeswaran, Jyotsna Murthy, Anupama Chandrasekharan, Santhosh Joseph

Case Report: Congenital infiltrating lipomatosis of face

Rangasami Rajeswaran et al. Indian J Radiol Imaging. 2008 Nov.

Abstract

Congenital infiltrating lipomatosis of the face is a rare condition characterized by diffuse fatty infiltration of the facial soft tissues. There may be muscle involvement along with associated bony hyperplasia. It is a type of lipomatous tumor that is congenital in origin; it is rare and seen usually in childhood. We recently saw an 11-year-old girl with this condition. She presented with a swelling of the right side of the face that had been present since birth; there were typical findings on plain radiographs, CT, and MRI. The patient underwent cosmetic surgery. Histopathological examination showed mature adipocytes without any capsule.

Keywords: Congenital; lipomatosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1 (A, B)
Figure 1 (A, B)
The appearance of the patient before (A) and after (B) surgery
Figure 2
Figure 2
Plain frontal radiograph shows sclerosis of the right frontal and zygomatic bones
Figure 3 (A–C)
Figure 3 (A–C)
Axial soft tissue (A), axial bone window (B), and coronal bone window reconstruction (C) images show a fat-density lesion in the subcutaneous, muscular, and intermuscular planes of the face (arrows), with thickening of the right frontal and zygomatic bones (arrowheads)
Figure 4 (A–D)
Figure 4 (A–D)
Axial T1W (A), coronal T1W (B), and axial T2W (C, D) images show an ill-defined lesion with fat-signal intensity (arrows) in the subcutaneous, muscular, and intermuscular planes of the face and neck. The tongue and palate on the right side are also involved (arrowheads)
Figure 5 (A, B)
Figure 5 (A, B)
Fat-suppressed T1W axial images show hypointensity within the lesion, suggesting presence of fat (arrows)
See this image and copyright information in PMC

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