Retrospective analysis of radiological investigation of surgically excised head and neck lipomas

Purpose Differentiating benign lipomas from malignant causes is challenging and preoperative investigative guidelines are not well-defined. The purpose of this study was to retrospectively identify cases of head and neck lipomas that were surgically resected over a 5-year period and to identify the...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2024-08, Vol.281 (8), p.4333-4339
Main Authors: Schranz, Amy L., Riordan, Fiona, Dolan, Roisin, Lawlor, Catriona, Morrison, Colin, O’Toole, Gary, Killeen, Ronan, McNeill, Graeme, O’Donohoe, Rory, Moran, Tom, O’Duffy, Fergal
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Female
Head and Neck
Head and Neck Neoplasms - diagnostic imaging
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
Head and Neck Surgery
Humans
Lipoma - diagnostic imaging
Lipoma - surgery
Liposarcoma - diagnostic imaging
Liposarcoma - pathology
Liposarcoma - surgery
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Retrospective Studies
Tomography, X-Ray Computed - methods
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Summary:Purpose Differentiating benign lipomas from malignant causes is challenging and preoperative investigative guidelines are not well-defined. The purpose of this study was to retrospectively identify cases of head and neck lipomas that were surgically resected over a 5-year period and to identify the radiological modality chosen and features discussed in the final report. Multidisciplinary outcomes and pathology reports were examined with a view to identifying high risk features of a lipoma to aid in future risk stratification. Methods Retrospective chart review of pathology characteristics, radiological features (modality, size, calcifications, septations, globular/nodular foci), multidisciplinary discussion and history of presenting complaint was performed. Results Two liposarcomas and 138 lipomas were identified. Twenty-two percent of all lipomas received radiological investigation. Twenty-two percent of imaging referrals were possibly inappropriate. Furthermore, radiological features suggestive of malignancy were not present in the final radiology report, X 2  = 28.8, p  
ISSN:0937-4477
1434-4726
1434-4726
DOI:10.1007/s00405-024-08672-3