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Intramuscular spindle cell lipoma of the sternomastoid muscle – imaging and pathological appearances

Published online by Cambridge University Press:  18 May 2006

M. D. Williams ,
D. C. Howlett ,
N. Violaris  and
K. Ramesar
M. D. Williams
Affiliation:
Department of Maxillofacial Surgery;
D. C. Howlett
Affiliation:
Department of Clinical Imaging;
N. Violaris
Affiliation:
ENT Department;
K. Ramesar
Affiliation:
Department of Histopathology, Eastbourne District General Hospital, UK
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Abstract

Spindle cell lipoma (SCL) is a rare neoplasm occurring predominantly in male patients between the ages of 45 and 70 years. We present a case of SCL arising in the sternomastoid muscle of a 46 year old male patient, which was completely excised at surgery. (Only 4 cases of SCL have been described within skeletal muscle and SCL has not previously been reported within sternomastoid.) The histological and magnetic resonance (MR) imaging features of this lesion are described and the differential diagnosis is discussed, with particular reference to its potential confusion with liposarcoma.

Keywords

Spindle cell Lipomaintramuscularmagnetic resonance imaging
Type
Case Study
Information
Journal of Diagnostic Radiography and Imaging , Volume 6 , Issue 1 , March 2006 , pp. 43 - 45
Copyright
2006 Cambridge University Press

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