A RARE CASE OF LIPOBLASTOMA IN A CHILD AT RIGHT GLUTEAL REGION- A CASE STUDY

*Dr. Sayali Dayanand Londhe and Prof. Dr. Rashmi Anil Kale

ABSTRACT

Lipoblastoma is a rare benign tumour that develops from embryonic adipose tissue cells. Lipoblastoma is occurring primarily in paediatric patients and formed by lipoblasts that proliferate after the postnatal period. Despite its potential for local invasion and rapid growth. The main differential diagnoses are myxoid and well-limited liposarcoma, whose treatment and prognosis are different. Surgical excision is the treatment of choice, and the risk of recurrence is very rare. Less than 200 cases are reported in the literature. Fewer than 10% of all paediatric soft tissue tumours, which approximately 5%-30% are of lipoblastomatous type.[1] Lipoblastoma often exhibit chromosome abnormalities at 8q11-13, whereas liposarcoma typically exhibits chromosome rearrangements in the region 12q14.[2,3] Ancient Ayurvedic Acharyas understands and explains this in terms of Beeja, beejabhaga and beejabhagavayava. The explanation about beeja, the role of beeja in the formation of Garbha (foetus) and hereditary diseases are explained in samhitas. The concept of Beejabhaga and Beejabhagaavayava are explained in shareerasthana of charakasamhita.[4] Case report: A 1 year male child with history of injection 2 months back and no other clinical sign and symptoms. Presenting a 70mm painless, well-limited, and mobile swelling of the in Ultrasound showed a well-limited, hyper-echoic mass, containing hypoechoic zones suggesting a lipoma. The patient underwent a complete resection of the mass. A histopathological study revealed a lipoblastoma.

Keywords: Lipoblastoma, Complete Resection.