%0 Journal Article
%T Fibrolipoma of the nasal septum; report of the first case
%A Murat Ozturk
%A Kadri Ila
%A Ahmet Kara
%A Mete Iseri
%J Journal of Otolaryngology - Head and Neck Surgery
%D 2013
%I BioMed Central
%R 10.1186/1916-0216-42-11
%X Case report.This report includes a patient who had a nasal septal fibrolipoma and an accompanying corpus callosum lipoma.To our knowledge, this is the first reported nasal septal fibrolipoma case in the literature. The diagnostic and surgical features of this case and the unity of septal fibrolipoma and intracranial lipomas are discussed.Lipomas are benign, slowly growing neoplasms composed of mature fat cells grouped in lobules by connective tissue septa. These tumors are very rare in the sinonasal tract [1]. Fibrolipomas are a very rare subtype of the lipomas, composing %1,6 of the facial lipomas [2]. In the literature; there are cases reported as fibrolipomas in the esophagus, pharynx, colon, trachea, larynx and oral cavity [3]. This article presents a patient with nasal septal fibrolipoma, and to the knowledge of the researchers, it is the first reported nasal septal case in the literature.An 18-year-old male patient presented with a two year history of nasal obstruction to the otorhinolaryngology department with no additional complaints. His medical family history had revealed nothing abnormal. An endoscopic examination revealed a soft, painless, well circumscribed 2.5x1.5 cm sized mass coated with normal mucosa in the left nasal cavity, localized from the anterior portion of the nasal septum to the posterior (Figure 1). The right nasal cavity was deemed narrowed due to the compression effect of the mass. The computed tomography (CT) showed a 25x12 mm sized low density mass in the septum (Figure 2A). Magnetic resonance imaging (MRI) presented a 22x12 mm lesion with high signal intensity in both T1 and T2 weighted images (Figure 2B). The image revealed a suppression pattern on the fat-suppressed MRI. The same investigation also revealed a 18 mm thick, 51 mm long lipoma at the falx cerebri that pushed the corpus callosum and anteroposteriorly reached the cingulate gyrus (Figure 2C). An incisional biopsy was performed on the mass under local anesthesia, and the sp
%K Nasal obstruction
%K Lipoma
%K Nasal septum
%U http://www.journalotohns.com/content/42/1/11