scholarly journals Multiple Symmetric Lipomatosis: A Diagnostic Dilemma

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Mladen Mimica ◽  
Danijel Pravdic ◽  
Emina Nakas-Icindic ◽  
Maja Karin ◽  
Emil Babic ◽  
...  

Introduction. Multiple symmetric lipomatosis, or Madelung's disease, is a rare condition which is characterized with large symmetrical accumulation of noncapsulated fat tissue in upper arms, neck, and shoulder areas. The disease etiology is unknown, with the highest incidence in the Mediterranean region.Case Presentation. Here, we present the case of Madelung's disease with symmetric fat distribution throughout the neck and history of alcoholism. The patient was treated from several diseases associated with alcoholism and hospitalized several times, but the diagnosis of Madelung's disease was omitted. The thyroid gland disease was excluded, while enlargement of the neck adipose tissue was attributed to obesity.Conclusions. This study points out possible diagnostic mistakes when a physician is not aware of a differentiation diagnosis of symmetrically enlarged neck masses, especially in geographic regions with high incidence of this disease.

2011 ◽  
Vol 69 (9) ◽  
pp. 2448-2451 ◽  
Author(s):  
Wen-Jun Zhang ◽  
Hua Jiang ◽  
Jian-Lin Zhang ◽  
Ying-Fan Zhang ◽  
Jing Yi ◽  
...  

2020 ◽  
Vol 13 (4) ◽  
pp. e234374
Author(s):  
Muhammad Hassan Danish ◽  
Muhammad Wasif ◽  
Nasir Ud Din ◽  
Muhammad Sohail Awan

Malignant peripheral nerve sheath tumours of thyroid are rare entities that can present a diagnostic dilemma. We present the case of a patient who presented with neck mass with a history of multiple neck surgeries and airway compression. The patient’s previous histopathology was mistaken for Riedel’s thyroiditis in an outside hospital, which delayed appropriate treatment leading to suffering on part of the patient and frustration on part of the physician. We emphasise that rare malignancies should be considered in rapidly growing neck masses that are causing airway compression, and histopathology of such tumours should be reported by expert pathologists.


2011 ◽  
Vol 35 (7) ◽  
pp. 557-560 ◽  
Author(s):  
Vincenzo Penna ◽  
Niklas Iblher ◽  
Jamil Al Jamali ◽  
G. Bjöern Stark ◽  
Gunther Felmerer

2003 ◽  
Vol 5 (1) ◽  
pp. 1-7 ◽  
Author(s):  
P. Siao Tick Chong ◽  
S. Vucic ◽  
E. T. Hedley-Whyte ◽  
M. Dreyer ◽  
D. Cros

Author(s):  
Fabrizia Elli ◽  
◽  
Marco Stacchini ◽  
Alberto Daniele Arosio ◽  
Roberta Priola ◽  
...  

Madelung’s Disease (MD), also known as benign multiple symmetric lipomatosis or Launois-Bensaude syndrome, is a rare condition. The characteristic feature is the presence of numerous diffuse lipomas at the level of the neck or upper limbs. The etiology is unknown, but a close association with ethyl abuse has been observed. The use of radiological examinations such as ultrasound, computed tomography and magnetic resonance imaging is helpful for the differential diagnosis. There are two classifications mainly used: The Enzi classification and the Donhauser classification. In this article we present a case of MD with laryngeal localization. A 50-year-old man was referred to our department complaining of dysphonia for about 6 months. An abnormal and diffuse enlargement of the anterior part of the neck was noticed, compatible with “Madelung’s Collar”. Fiberoptic examination of the larynx revealed the presence of a lipomatous-like neoformation of the left false vocal cord. The patient underwent surgical removal of the laryngeal neoformation with transoral laser microsurgery. With this article we suggest a possible diagnostic and therapeutic procedure for the treatment of laryngeal lipomatosis. Keywords: Lipoma; TML; Larynx; Dysphonia; ENT


2011 ◽  
Vol 41 (4) ◽  
pp. 489-490
Author(s):  
Andreas Gutzeit ◽  
Christoph A. Binkert ◽  
Sina Schmidt ◽  
Abdul R. Jandali ◽  
Jochen Mutschler ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
pp. 30-34
Author(s):  
H Pedan ◽  
E Behanova ◽  
V Calkovsky ◽  
A Hajtman

Abstract Madelung’s disease also called benign symmetric lipomatosis is a rare disorder of unknown etiology. The disease affects almost exclusively middle-aged men with a history of multi-year alcohol abuse. The major symptom is presence of non-encapsulated benign fat masses, especially in the area of the head and neck. Limited head and neck movement, dysphagia, and dyspnea may appear as well. The diagnosis is clinical and is supported by imaging methods, often elevated hepatic enzymes in blood serum, and histological examination with finding of mature adipose tissue without signs of proliferation. Therapeutic methods involve liposuction or excision which is a method of choice nowadays. In this article the authors review current knowledge, research state, and present five cases of the Madelung’s disease occurring within the last 10 years at the Clinic of Otorhinolaryngology and Head and Neck Surgery in Martin, Slovakia.


2021 ◽  
Vol 7 (8) ◽  
pp. 77508-77516
Author(s):  
Tayná Carlos Rolim ◽  
Débora Jane Almeida Vianna Lins ◽  
Juliana Brasil De Oliveira ◽  
Ana Luisa Torres Fontes Lima

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